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Multiple meningiomas: two cases report.

A L Kwan1, S L Howng

  • 1Department of Surgery, Kaohsiung Medical College Hospital Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|June 1, 1990
PubMed
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Multiple meningiomas were diagnosed in two female patients presenting with varied symptoms. Brain computed tomography (CT) revealed findings that mimicked glial tumors or hemorrhage.

Area of Science:

  • Neurology
  • Neurosurgery
  • Oncology

Background:

  • Meningiomas are tumors arising from the meninges, the membranes surrounding the brain and spinal cord.
  • Multiple meningiomas are rare, presenting diagnostic challenges due to varied clinical manifestations.
  • Accurate radiological interpretation is crucial for differentiating meningiomas from other intracranial pathologies.

Observation:

  • Two female patients presented with distinct neurological symptoms and signs.
  • Brain computed tomography (CT) scans demonstrated multiple, homogeneous, high contrast-enhancing lesions in both cerebral hemispheres.
  • The imaging findings in one patient mimicked glial or metastatic tumors, while in the other, they resembled intracerebral hemorrhage.

Findings:

  • Histopathological confirmation revealed multiple meningiomas in both patients.

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  • The diverse clinical presentations underscore the varied symptomatic potential of multiple meningiomas.
  • CT imaging characteristics can be misleading, necessitating careful correlation with clinical data.

    • Implications:

    • This case series highlights the importance of considering multiple meningiomas in the differential diagnosis of complex intracranial lesions.
    • Radiologists and clinicians should be aware of the potential for atypical imaging presentations of meningiomas.
    • Early and accurate diagnosis is vital for appropriate management and improved patient outcomes in cases of multiple meningiomas.