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Infected intracranial meningiomas

William B Lo1, Julian Cahill1, Martyn Carey2

  • 1Department of Neurosurgery, University Hospital, Coventry, United Kingdom.

World Neurosurgery
|August 7, 2013
PubMed
Abstract

Insights

Infection of brain tumors like meningiomas is rare. This case highlights how advanced imaging aids in diagnosing multiple infected meningiomas with abscesses, improving patient outcomes.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Oncology

Background:

  • Intracranial meningiomas are tumors of the meninges.
  • Infection associated with meningiomas is exceptionally rare, with only six cases previously reported.
  • Diagnosing dual pathologies like meningioma and infection can be radiologically challenging.

Observation:

  • A 70-year-old woman presented with sepsis and hemiparesis after a urological procedure.
  • Magnetic resonance imaging revealed multiple intracranial lesions.
  • Diffusion-weighted imaging suggested cerebral metastases.

Findings:

  • Surgical excision confirmed atypical meningiomas with intratumoral abscesses caused by Escherichia coli.
  • The patient experienced a complete neurologic recovery.
  • Radiologic findings, though initially challenging, correlated with histologic examination.

Implications:

  • This is the first reported case of multiple infected intracranial meningiomas.
  • Diffusion-weighted imaging and apparent diffusion coefficient mapping can aid in diagnosing infected intracranial meningiomas in specific clinical scenarios.
  • Early and accurate diagnosis is crucial for effective management and patient recovery.
Keywords:
Diffusion-weighted imagingInfectionMeningioma

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