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Recurrent Meningothelial Meningioma With Multiple Extensions: A Complex Case Study.
Corneliu Toader1,2, Razvan-Adrian Covache-Busuioc1, Bogdan-Gabriel Bratu1
1Department of Neurosurgery, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Cureus
|January 22, 2024
Summary
This case report details a recurrent meningioma in an elderly patient, highlighting challenges in managing intracranial neoplasms. Early detection and individualized treatment are crucial for improving outcomes in meningioma patients.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Meningiomas are the most common benign intracranial neoplasms.
- Research on meningioma association with seizures and motor deficits is limited.
- Elderly patients present unique challenges in meningioma management.
Observation:
- A 67-year-old female with a history of depressive disorder, persistent cephalalgia syndrome, and ataxic gait presented with confusion and headache.
- Imaging revealed a large right frontal meningioma with significant mass effect.
- Initial surgical resection led to neurological improvement.
Findings:
- The patient re-presented with bradypsychia, bradykinesia, and memory disorders, indicating meningioma recurrence.
- Recurrent meningiomas require complex management strategies.
- Surgical resection is the primary treatment, with radiotherapy used for recurrence or incomplete resection.
Implications:
- This case underscores the need for individualized treatment strategies for meningiomas.
- Further research is needed to advance therapeutic approaches and reduce recurrence risks.
- Effective management is crucial, especially considering meningioma's predilection for older females and varied neurological manifestations.
