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Endoscopic Approach for Colloid Cyst Resection
Published on: May 23, 2025
Intraventricular cystic meningioma
Prabal Deb1, Hirdesh Sahani, Harjinder Singh Bhatoe
1Department of Pathology, Armed Forces Medical College, Pune, India.
Abstract:
We report a case of a 45-year-old male patient with intraventricular cystic meningioma located in the left lateral ventricle. He presented with complaints of global headache, progressively increasing loss of memory, and frequent episodes of abnormal behavior, of 1 month duration. At the time of hospital admission, his general and neurological examination was normal. Neuroimaging studies showed a left lateral ventricular enhancing mass, composed of mixed solid and cystic areas. The tumor was completely excised via the anterior transcallosal approach. A histological examination revealed a meningothelial meningioma without any atypia. The aim of this report is to present the occurrence of an intraventricular cystic meningioma.
Insights
This case report details an intraventricular cystic meningioma in a 45-year-old male. Surgical removal was successful, highlighting this rare tumor presentation.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Intraventricular meningiomas are rare tumors, typically arising from the choroid plexus or ependymal lining.
- Cystic components within intraventricular meningiomas are uncommon, posing diagnostic and surgical challenges.
Observation:
- A 45-year-old male presented with a one-month history of global headache, memory loss, and behavioral changes.
- Neurological examination revealed no deficits. Neuroimaging demonstrated a left lateral ventricular mass with mixed solid and cystic features.
Findings:
- Histopathological analysis confirmed a meningothelial meningioma, a benign subtype, with no atypical features.
- The tumor was completely excised using an anterior transcallosal surgical approach.
Implications:
- This case underscores the importance of considering intraventricular cystic meningiomas in the differential diagnosis of ventricular masses.
- Complete surgical resection is the primary treatment, with a favorable prognosis for benign meningiomas.
- Further research into the pathogenesis and optimal management of cystic intraventricular meningiomas is warranted.
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