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Benign Sphenoid Wing Meningioma Presenting with an Acute Intracerebral Hemorrhage - A Case Report

Radek Frič1, John K Hald2, Ellen-Ann Antal3

  • 1Department of Neurosurgery, Oslo University Hospital - Rikshospitalet, Oslo, Norway.

Journal of Central Nervous System Disease
|April 30, 2016
PubMed
Abstract

Insights

A rare case of a benign sphenoid wing meningioma presenting as a sudden intracerebral hemorrhage is described. Prompt surgical removal led to excellent patient recovery without lasting neurological deficits.

Area of Science:

  • Neurosurgery
  • Neuropathology
  • Neuroradiology

Background:

  • Meningiomas, particularly sphenoid wing meningiomas, are typically slow-growing benign tumors.
  • Intracerebral hemorrhage is an uncommon presentation for meningiomas, especially in the absence of predisposing factors.

Observation:

  • A 68-year-old female presented with sudden coma due to intracerebral hemorrhage.
  • Computed tomography (CT) and CT angiography revealed hemorrhage but no vascular anomaly.
  • Intraoperative findings identified a lateral sphenoid wing meningioma with intratumoral bleeding extending into the brain parenchyma.

Findings:

  • The patient underwent simultaneous hematoma evacuation and complete tumor resection.
  • Histopathological analysis confirmed a World Health Organization (WHO) grade I meningothelial meningioma.
  • The patient experienced a favorable recovery with no significant neurological sequelae.

Implications:

  • This case highlights an extremely rare presentation of a benign sphenoid wing meningioma.
  • It underscores the importance of considering uncommon etiologies for intracerebral hemorrhage.
  • The study discusses potential mechanisms for intratumoral bleeding in meningiomas.
Keywords:
brain tumorsintracerebral hemorrhageintracranial meningiomasphenoid wing

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