1 / 7

Different subtypes meningiomas arising in the same region

Different subtypes meningiomas arising in the same region. M. Neroni, R. Gazzeri, G. Ricci e S. Esposito U.O.D. Neurosurgery, San Giovanni – Addolorata Hospital Rome. Introduction Occurrence of multiple primary brain tumors is uncommon

Download Presentation

Different subtypes meningiomas arising in the same region

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Different subtypes meningiomas arising in the same region M. Neroni, R. Gazzeri, G. Ricci e S. Esposito U.O.D. Neurosurgery, San Giovanni – Addolorata Hospital Rome

  2. Introduction Occurrence of multiple primary brain tumors is uncommon - Chordoid meningioma is a rare isthological entity The association of two different subtypes meningiomas in the same region have not yet been reported

  3. Case Report A 64 y.o. cauc. woman presenting with headaches since 5 months - Referred to our E.R. after acute onset of seizure No neurological deficit were disclosed

  4. Case Report Emergency CT showed a huge pterional hyperdense lesion MR revealed two distinct lesions showing a different contrast enhancement

  5. Widened Pterional approach Removing the anterior firm and larger tumor (intra-op histo exam revealed a chordoma) WHO II Bone and muscle were infiltrated (Simpson I) Cleavage between the lesions Posterior mass was easily removed (intra-op histo exam revealed a transitional meningioma) WHO I

  6. Histology Anterior tumor: Chordoid Meningioma (Grade II WHO) - Posterior mass: Transitional Meningioma (Grade I WHO)

  7. Conclusion At nine months F.U. patient is still free disease No radiotherapy was delivered - Control MR showed no recurrence

More Related