Romano Carmine, Schittenhelm Jens, Tatagiba Marcos, Behling Felix
Department of Neurosurgery, San Carlo Regional Hospital, Potenza, ITA.
Department of Neuropathology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tubingen, DEU.
Cureus. 2025 Jun 7;17(6):e85513. doi: 10.7759/cureus.85513. eCollection 2025 Jun.
Meningiomas are the most common intracranial benign tumors. Among them, cystic angiomatous meningiomas are very rare entities, making preoperative differentiation with other tumors challenging. We present a case of parasagittal angiomatous meningioma with a large associated cyst that mimicked a hemangioblastoma on preoperative imaging. It was treated surgically. We also performed a literature review and identified a total of 10 articles in the English language, describing a few similar cases of cystic angiomatous meningiomas. Conclusions: This report of a rare case of cystic angiomatous meningioma with a unique cystic presentation on preoperative imaging adds to the scarce body of literature on the topic. Surgery is ultimately the key method to make a diagnosis and to decompress the brain parenchyma in these patients.
脑膜瘤是最常见的颅内良性肿瘤。其中，囊性血管母细胞型脑膜瘤是非常罕见的类型，术前与其他肿瘤进行鉴别具有挑战性。我们报告1例矢状窦旁血管母细胞型脑膜瘤病例，其伴有一个大的相关囊肿，术前影像学表现类似血管母细胞瘤。该病例接受了手术治疗。我们还进行了文献回顾，共检索到10篇英文文献，描述了一些类似的囊性血管母细胞型脑膜瘤病例。结论：本报告描述了1例罕见的囊性血管母细胞型脑膜瘤病例，其术前影像学表现独特，为该领域稀少的文献增添了内容。手术最终是这些患者进行诊断和减轻脑实质压迫的关键方法。
