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Meningioma associated with subdural hematoma--case report
S Niikawa1, M Kawaguchi, S Sugimoto
1Department of Neurosurgery, Prefectural Gifu Hospital, Gifu, Japan.
Neurologia Medico-Chirurgica
|March 1, 1990
Summary
A meningioma tumor in a 49-year-old female was linked to a severe subdural hematoma. Surgical removal of the tumor and hematoma was successful, offering insights into this rare neurological complication.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Meningiomas are typically benign tumors arising from the meninges.
- Acute subdural hematomas (ASDH) are often caused by trauma.
- The association between meningioma and ASDH is rare.
Observation:
- A 49-year-old female presented with sudden severe headache, nausea, vomiting, confusion, lethargy, right hemiplegia, and left mydriasis.
- Computed tomography revealed a left parietal extra-axial mass with heterogeneous enhancement.
- Carotid angiography confirmed a tumor with a massive underlying subdural hematoma.
Findings:
- Surgical exploration and craniotomy revealed the meningioma and the extensive subdural hematoma.
- Histological examination confirmed a meningotheliomatous meningioma.
- Numerous meningothelial cells were identified within the subdural hematoma, suggesting a direct link.
Implications:
- This case highlights a rare but critical presentation of meningioma.
- It underscores the importance of prompt neuroimaging and surgical intervention in such cases.
- Understanding the pathophysiology of meningioma-associated subdural hematoma can improve diagnostic and treatment strategies.