[Association of asymptomatic syringomyelia with tentorial meningioma]

A case of asymptomatic syringomyelia associated with tentorial meningioma is reported. A 53-year-old female was admitted to our hospital with the complaints of headache, decrease of bilateral visual acuity and gait disturbance. Neurological examination revealed no abnormality except for bilateral papilledema and left cerebellar sign. Motor and sensory systems were also intact. CT and MRI scans showed a left tentorial mass lesion, cervical syringomyelia and left tonsillar herniation. A relationship between the fourth ventricle and syringomyelia was not clearly identified. The tumor was totally removed and a histological diagnosis of fibroblastic meningioma was made. Postoperative radiological examination showed a diminishing of syringomyelia with the improved tonsillar herniation. Association of syringomyelia with brain tumor was reviewed, and its pathogenesis was discussed.