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Multicystic meningioangiomatosis
Peifeng Li, Guangbin Cui, Yingmei Wang
1Department of Pathology, General Hospital of Jinan Military Command, Ji'nan 250031, China. gm2227@sina.com.
BMC Neurology
|February 22, 2014
Summary
Meningioangiomatosis (MA) is a rare brain lesion. This case highlights a multicystic form, emphasizing surgical resection and electrocorticography for seizure control and diagnosis.
Area of Science:
- Neuropathology
- Neurosurgery
- Developmental Neurobiology
Background:
- Meningioangiomatosis (MA) is a rare hamartomatous lesion.
- Cystic variants of MA are exceptionally rare, with only six cases previously reported.
Observation:
- A 21-year-old woman presented with intractable seizures due to a right temporal lobe multicystic mass.
- Magnetic resonance imaging revealed a well-defined, heterogeneous lesion.
- Histopathology showed perivascular cell proliferation, microcysts, and novel hyalinized collagen fibers.
Findings:
- The multicystic MA exhibited unique histopathological features, including hyalinized collagen fibers.
- Surgical resection of the lesion and epileptogenic cortex was performed with intraoperative electrocorticography (ECoG) assistance.
- The patient remained symptom-free with no recurrence for 2 years post-surgery.
Implications:
- MA may arise from trapped arachnoid and vascular tissue during brain development.
- Cysts likely form from cerebrospinal fluid accumulation in perivascular spaces.
- Surgical resection and ECoG are crucial for diagnosis and seizure management in MA.
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