Abolfotoh Mohammad, Brzezicki Grzegorz, Fiester Peter, Tavanaiepour Daryoush
Neurosurgery, University of Florida Health, Jacksonville, USA.
Neuroradiology, University of Florida Health, Jacksonville, USA.
Cureus. 2021 Nov 1;13(11):e19178. doi: 10.7759/cureus.19178. eCollection 2021 Nov.
Meningiomas are slowly growing benign tumors. The incidence of hemorrhage associated with intracranial meningiomas is in the 0.5%-2.4% range. However, intracranial meningiomas with hemorrhagic presentation are associated with higher rates of overall major morbidity (36%) and mortality (21.1%). We report a case of a convexity meningioma presenting with intraparenchymal hematoma and bilateral acute subdural hematomas (SDH) in a comatose patient (Glasgow Coma Scale (GCS) score: 7) who had a history of recurrent episodes of headaches over the past few months. Hemorrhagic presentation of a meningioma is a rare but potentially devastating event. Early recognition of the potential underlying meningioma as a cause of bleeding followed by rapid appropriate additional imaging is crucial to direct treatment plans to achieve the best outcome.
脑膜瘤是生长缓慢的良性肿瘤。颅内脑膜瘤伴发出血的发生率在0.5% - 2.4%之间。然而，表现为出血的颅内脑膜瘤与更高的总体严重发病率（36%）和死亡率（21.1%）相关。我们报告一例凸面脑膜瘤病例，该病例表现为脑实质内血肿和双侧急性硬膜下血肿（SDH），患者昏迷（格拉斯哥昏迷量表（GCS）评分：7分），在过去几个月中有反复发作头痛的病史。脑膜瘤的出血表现是一种罕见但可能具有毁灭性的事件。早期识别潜在的脑膜瘤作为出血原因，随后进行快速适当的额外影像学检查，对于指导治疗方案以实现最佳结果至关重要。
