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Published on: April 17, 2012
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.
Abstract:
Intraventricular meningiomas are uncommon intracranial tumors and infrequently present with hemorrhage. With only 10 reported cases in the literature, it is exceedingly rare for meningiomas of the ventricular system to present with hemorrhage. To our knowledge, this is the first report of a patient presenting with an acute intraventricular hemorrhage in relation to a ventricular meningioma suspected to be radiation induced. In addition, we review the current literature on hemorrhagic intraventricular meningiomas and review the natural history of radiation-induced meningiomas.
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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