Lung metastases from intracranial bleeding meningioma: A case report

Su Hu1, Yaqi Zhang, Yue Sun

  • 1Department of Radiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, P.R. China Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL Medical Imageology Department, The First Clinical Medical School, Medical College of Soochow University, Jiangsu, P.R. China.

Medicine
|April 19, 2018
PubMed
Abstract

Insights

This case report details a rare instance of meningioma with both intratumoral bleeding and lung metastases. Early whole-body examination is crucial for aggressive meningiomas to detect distant spread.

Area of Science:

  • Neuro-oncology
  • Radiology
  • Pathology

Background:

  • Meningioma, the most common primary brain tumor, arises from arachnoid mater cells.
  • While extracranial metastases are known, concurrent intratumoral bleeding and lung metastases are exceptionally rare.

Observation:

  • A patient presented with sudden left limb paralysis, headache, and dizziness.
  • Brain MRI and CT revealed an intracranial mass with intratumoral hemorrhage.
  • CT scans identified multiple lung metastases in the right lung.

Findings:

  • Histopathology confirmed lung metastases originated from the intracranial bleeding meningioma.
  • Surgical resection of the intracranial mass was followed by a lung biopsy.
  • The patient later experienced epilepsy, receiving symptomatic treatment.

Implications:

  • Aggressive meningiomas, especially those near venous sinuses, warrant thorough systemic evaluation.
  • Prompt detection of distant metastases is vital for effective management of meningioma.
  • This case highlights the importance of comprehensive staging in specific meningioma presentations.

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