Atypical Meningioma with Intratumoral Hemorrhage in Elderly Patient: A Case Report

, Jong-Beom Lee; , Ho-Young Ahn; , Ji-Ho Yang; , Jin-Seok Yi; , Il-Woo Lee

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2016;12(2):282-284.
Published online September 30, 2016.

Atypical Meningioma with Intratumoral Hemorrhage in Elderly Patient: A Case Report

Jong-Beom Lee , Ho-Young Ahn , Ji-Ho Yang , Jin-Seok Yi , Il-Woo Lee

Department of Neurosurgery, Daejeon St. Mary’s Hospital, Catholic University of Korea, Daejeon, Korea

노인 환자에서 종양 내 출혈을 동반한 비정형 뇌수막종: 증례 보고

이종범·안호영·양지호·이진석·이일우

가톨릭대학교 의과대학 대전성모병원 신경외과학교실

Abstract

Intratumoral bleeding from a meningioma is very rare. We report a case of a falcine meningioma which presented in association with intratumoral bleeding. 70 years male who presented with history of sudden onset weakness in left upper and lower limb. A computed tomography showed intratumoral bleeding. MRI revealed heterogeneous lesion in right occipital area with intratumoral bleeding. Right occipital craniotomy with tumor and hematoma removal was performed. The histological diagnosis was atypical meningioma with hemorrhage. Meningioma with hemorrhagic onset remains rare, and pathophysiology is still incompletely understood. Prevention and outcome of intratumoral hemorrhage highly depends on early diagnosis and adequate treatment.

Key Words: Meningioma, Hemorrhage, Intracranial hemorrhage, Aged, Benign neoplasm