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Published on: July 5, 2021
MR and MRS characteristics of intraventricular meningioma
Nada Vucković1, Dusko Kozić, Petar Vuleković
1Center for Pathology and Histology, Clinical Centre Vojvodina, Novi Sad, Serbia. dinvucko@eunet.yu
Abstract:
Meningiomas are frequent intracranial, non-glial tumors of adults. We present the unusual left lateral ventricular localization of meningioma in a 51-year-old man. The magnetic resonance (MR) images showed well demarcated, large mass of the atrium of the left lateral ventricle with transependymal extension into the left temporal lobe. MR spectroscopy revealed the presence of "choline only" spectrum, typical for extra axial neoplasms. The mass was completely resected. The diagnosis of transitional type intraventricular meningioma, with psammoma bodies, histologic grade I was made. Progesterone and estrogen receptors were negative.
Insights
This case study details an uncommon intraventricular meningioma in a 51-year-old man. Surgical resection was successful, confirming a benign tumor with specific histological features.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Meningiomas are common primary intracranial tumors, typically arising from the meninges.
- Intraventricular meningiomas are rare, representing a small subset of all meningiomas.
- This report focuses on an atypical presentation of meningioma within the lateral ventricle.
Observation:
- A 51-year-old male presented with symptoms related to an intracranial mass.
- Magnetic resonance (MR) imaging revealed a large, well-demarcated mass in the left lateral ventricle atrium.
- The mass demonstrated transependymal extension into the adjacent left temporal lobe.
Findings:
- MR spectroscopy showed a "choline only" spectrum, characteristic of extra-axial neoplasms.
- The tumor was surgically resected completely.
- Histopathological analysis confirmed a transitional type intraventricular meningioma, WHO grade I, with psammoma bodies. Hormone receptor analysis was negative.
Implications:
- Highlights the importance of considering meningiomas in the differential diagnosis of intraventricular tumors.
- Demonstrates the utility of advanced imaging techniques like MR spectroscopy in characterizing intracranial lesions.
- Successful surgical management of this rare tumor type underscores the efficacy of neurosurgical intervention.
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