A Case of Benign Meningioma Presented with Subdural Hemorrhage.
10.14791/btrt.2015.3.1.30
- Author:
Joo Hwan KIM
1
;
Ho Shin GWAK
;
Eun Kyung HONG
;
Chang Whan BANG
;
Sang Hyun LEE
;
Heon YOO
Author Information
1. Neuro-Oncology Clinic, National Cancer Center, Goyang, Korea. nsghs@ncc.re.kr
- Publication Type:Case Report
- Keywords:
Meningioma;
Benign neoplasm;
Hemorrhage;
Hematoma, subdural
- MeSH:
Cough;
Emergency Service, Hospital;
Female;
Headache;
Hematoma, Subdural*;
Hemorrhage;
Humans;
Meningioma*;
Middle Aged;
Ovarian Neoplasms;
Pathology;
World Health Organization
- From:Brain Tumor Research and Treatment
2015;3(1):30-33
- CountryRepublic of Korea
- Language:English
-
Abstract:
Meningiomas are the most common benign intracranial tumors and make up 13-26% of all primary intracranial tumors. Clinical presentation of hemorrhage is rare in these tumors occurring in approximately 1.3% of cases and subdural hemorrhages are even more uncommon. The mechanism of hemorrhage is still unclear and may vary according to histologic type, location and the type of hemorrhage. We experienced a case of 61-year-old woman with a benign meningioma presenting as a subdural hemorrhage. She developed sudden onset of headache right after aggressively coughing. Her headache persisted for a week before she was admitted to the emergency room of National Cancer Center. She had a past medical history of ovarian cancer which had been treated and was allegedly recurrence-free for 2 years. At the time of admission, a headache was the only symptom and imaging studies showed a right frontal hemorrhagic subdural mass lesion accompanying an ipsilateral subdural hematoma. Elective surgery was performed and intraoperative findings revealed the hallmark characteristics of a meningioma with mixed stage diffuse subdural hematoma. Permanent pathology result determined it was a conventional meningioma (World Health Organization grade I). From this case, we discuss the rare presentation of subdural hemorrhage in meningioma and related points by reviewing the literature of previous studies.
