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[Incidental meningioma. Case report].

S Takahashi, Y Itoh

    Neurologia Medico-Chirurgica
    |August 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    This case study details the rare incidental discovery of a meningioma brain tumor during emergency surgery for an acute subdural hematoma. This finding is unique as it

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    Area of Science:

    • Neurosurgery
    • Neuropathology
    • Radiology

    Background:

    • Meningiomas are typically benign tumors arising from the meninges.
    • Incidental meningioma discovery often occurs with other intracranial pathologies like aneurysms or chronic subdural hematomas.
    • Acute subdural hematomas require immediate surgical intervention.

    Observation:

    • A 46-year-old female presented with severe head trauma and a left posterior skull fracture.
    • Computed tomography revealed a high-density intracranial mass in the left posterior fossa.
    • Emergency craniectomy for acute subdural hematoma led to the incidental finding of an infratentorial tumor.

    Findings:

    • A 30 mm diameter fibroblastic meningioma was identified and totally removed.
    • The meningioma was attached to the dura in the infratentorial region.

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  • The patient experienced an uneventful postoperative recovery.
  • Implications:

    • This is the first reported case of a meningioma incidentally discovered during surgery for an acute infratentorial subdural hematoma.
    • Highlights the importance of thorough intraoperative examination, even in emergency settings.
    • Contributes to understanding the varied clinical presentations and associations of meningiomas.