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Uncommon and atypical meningiomas and imaging variants: A report of 7 cases
George Fotakopoulos1, Vasiliki Tsolaki2, Aikaterini Aravantinou-Fatorou3
1Department of Neurosurgery, General University Hospital of Larisa, 41221 Larisa, Greece.
Abstract:
Meningiomas constitute the most common extra-axial tumor of the central nervous system and can have a wide-ranging manifestation of imaging. There are several types of unusual depictions depicted with the magnetic resonance imaging (MRI) of meningiomas that have been established thus far. It is thus crucial for the reporting radiologist or neurosurgeon to have an in-depth knowledge of their variable manifestations in order to be able to differentiate these neoplasms from the numerous tumors that can mimic their appearance. Meningioma is frequently challenging to diagnose when imaging variants are present. Nevertheless, a number of unusual histological variants have imaging or clinical features which are related to typical meningiomas and, in numerous cases, these require specific surgical management. The present study describes 7 cases of meningiomas, which were either simple atypical, unusual gigantic extracranial intracranial parasagittal, or not visible meningiomas. These uncommon and atypical imaging variants of meningiomas are described herein in an aim to underline their various potential presentations.
Insights
This study highlights unusual presentations of meningiomas, the most common brain tumors. Understanding these rare imaging variants is crucial for accurate diagnosis and appropriate surgical management.
Area of Science:
- Neurology
- Radiology
- Neurosurgery
Background:
- Meningiomas are the most common extra-axial tumors of the central nervous system.
- They exhibit diverse imaging manifestations on magnetic resonance imaging (MRI).
- Accurate differentiation from mimickers is essential for diagnosis.
Observation:
- This study details 7 cases of meningiomas with uncommon imaging presentations.
- These include atypical, gigantic extracranial-intracranial, and non-visible meningiomas.
- Unusual histological variants may present with features related to typical meningiomas.
Findings:
- Meningiomas can present with challenging and atypical imaging findings.
- Rare variants require specific surgical considerations.
- Recognizing these variations aids in differential diagnosis.
Implications:
- Enhanced radiologist and neurosurgeon knowledge of meningioma variants is critical.
- Improved diagnostic accuracy for challenging meningioma cases.
- Facilitates tailored surgical strategies for rare meningioma presentations.
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