Ogasawara Kiyotaka, Ito Yuhei, Ichikawa Tsuyoshi, Suzuki Kyouichi
Department of Neurosurgery, Japanese Red Cross Fukushima Hospital, Fukushima, JPN.
Cureus. 2024 Feb 25;16(2):e54886. doi: 10.7759/cureus.54886. eCollection 2024 Feb.
This report describes an unusual case of falx meningioma associated with acute subdural hematoma, which is a rare presentation. A 76-year-old woman presented with right-sided hemiparesis and a known falx meningioma that had rapidly increased in volume over the previous year. Computed tomography revealed interhemispheric and left-hemispheric acute subdural hematomas. Preoperative embolization and surgical tumor removal were performed to improve the symptoms, and pathological examination of the tumor revealed transitional meningioma (WHO Grade I). The patient's paresis symptoms improved postoperatively. This report provides valuable insights into the management and outcomes of falx meningioma with acute subdural hematoma, suggesting aggressive surgery to improve postoperative recovery.
本报告描述了一例罕见的与急性硬膜下血肿相关的镰旁脑膜瘤病例。一名76岁女性出现右侧偏瘫，已知患有镰旁脑膜瘤，其体积在过去一年中迅速增大。计算机断层扫描显示大脑半球间和左侧大脑半球急性硬膜下血肿。进行了术前栓塞和肿瘤切除手术以改善症状，肿瘤的病理检查显示为过渡型脑膜瘤（世界卫生组织一级）。患者的偏瘫症状术后有所改善。本报告为镰旁脑膜瘤合并急性硬膜下血肿的治疗及结果提供了有价值的见解，提示积极手术可改善术后恢复情况。
