Rapidly Expanding Lateral Ventricular Meningioma Presenting with Intraventricular Hemorrhage following Remote Whole

Joshua T Prickett1,2,3,4,5, Brendan J Klein1,2,3,4,5, Christopher M Busch1,2,3,4,5

  • 1Division of Neurosurgery, Carilion Clinic, Roanoke, Virginia, United States.

Insights

This study reports the first case of radiation-induced intraventricular meningioma presenting with acute hemorrhage. It highlights the rarity of this condition and reviews related literature.

Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Radiation Oncology

Background:

  • Intraventricular meningiomas are rare intracranial tumors.
  • Hemorrhage is an infrequent presentation for these tumors, with only 10 cases reported.
  • Radiation-induced meningiomas represent a distinct subset with unique characteristics.

Observation:

  • This case details a patient with an acute intraventricular hemorrhage.
  • The hemorrhage was associated with a ventricular meningioma.
  • The meningioma was suspected to be radiation-induced.

Findings:

  • This is the first reported instance of a radiation-induced ventricular meningioma presenting with acute intraventricular hemorrhage.
  • Literature review confirms the extreme rarity of hemorrhagic intraventricular meningiomas.
  • The natural history of radiation-induced meningiomas is also reviewed.

Implications:

  • This case expands the understanding of rare meningioma presentations.
  • It underscores the importance of considering radiation history in meningioma etiology.
  • Further research into radiation-induced tumors may inform clinical management and surveillance strategies.

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