Lofrese Giorgio, Della Pepa Giuseppe Maria, Sabatino Giovanni, Esposito Giuseppe, Puca Alfredo, Albanese Alessio
Institute of Neurosurgery, Catholic University School of Medicine, Rome, Italy. glofrese@tiscali
Br J Neurosurg. 2011 Jun;25(3):324-6. doi: 10.3109/02688697.2010.535926. Epub 2010 Dec 15.
A 47-year-old man underwent surgery for syncytial meningioma. Twelve months later neuroimaging demonstrated recurrence, showing an intra-axial ring-enhanced cystic lesion in the site of previous surgery. High-grade glioma was suspected. Neuropathologist's diagnosis was 'intraparenchymal rhabdoid meningioma'. The case raises questions about behaviour of meningiomas and their differential diagnosis with gliomas.
一名47岁男性因合胞体性脑膜瘤接受手术。12个月后,神经影像学检查显示复发,在先前手术部位出现一个轴内环形强化囊性病变。怀疑为高级别胶质瘤。神经病理学家的诊断为“脑实质内横纹肌样脑膜瘤”。该病例引发了关于脑膜瘤的行为及其与胶质瘤鉴别诊断的问题。