Management and Diagnosis Challenges in Cystic Meningioma. A Case Report and Review of Literature

• 作者: Kaoutar Znati Moulay Rachid El Maquili Moussa Denou Mustapha Hemama Nizare El Fatemi Nourou Dine Adeniran Bankole
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: MENINGIOMAS CYST DIFFERENTIAL DIAGNOSIS Case Report
• 年，卷（期）: 2020,（2）
• 页码范围: 222-229
• 页数: 8页
• 分类号: R73

摘要

Background: Cystic meningioma is a rare variety of meningioma. It represents 4% to 7% of all meningiomas. The authors report a case of intracranial cystic meningioma with a review of literature. Case Report: A 59-year-old female presented with a history of headache followed by left side hemiplegia. CT scan and MRI of the brain showed a right parietal tumor with double solid and cystic components thought to be pilocytic astrocytoma or metastasis preoperatively. At surgery, the extraaxial solid and cystic lesion had a well defined capsule that could be easily separated from the perilesional cortical surface. The tumor was totally removed and the cyst was punctioned. The histological study showed a cystic meningioma WHO Grade I. A follow-up at 10 months after surgery, the patient was going well and recovered from the hemiplegiaa. Conclusion: Cystic meningioma is an uncommon tumor that should be considered in the differential diagnosis of brain tumors with a cystic component. The preoperative diagnosis and management could be in some cases challenging.