Ooba Hiroshi, Abe Tatsuya, Wakabayashi Yukihiro, Kamida Tohru, Ishii Keisuke, Fujiki Minoru, Kobayashi Hidenori, Asano Tomoshige, Hori Yuzo, Nagatomi Hirofumi
Department of Neurosurgery, Oita University, Oita 879-5593, Japan.
Surg Neurol. 2007 Jul;68(1):99-102; discussion 102. doi: 10.1016/j.surneu.2006.08.086. Epub 2007 Feb 15.
We report on the case of a patient with meningioma that was correctly identified through biopsy.
A 69-year-old woman presented with slight headache and was then examined at our hospital. Neurologic and physical examinations found no abnormality. Magnetic resonance imaging demonstrated a well-enhanced huge, dural-based, and plaque-like mass extending throughout the parietooccipital convexity and the posterior fossa. Tumors pressed the adjacent brain cortex while extending along the Virchow-Robin space. A CT scan also showed hyperostosis on the parietooccipital bone. Angiography demonstrated a vascular blush that appeared to be of a tumor-like shape. A biopsy was performed to confirm the diagnosis. The histologic findings demonstrated meningothelial meningioma with infiltration into the Virchow-Robin space.
Many radiographic patterns of meningioma have been reported, but the present case is quite rare. The radiographic and pathologic findings in our patient are discussed.
