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Papillary meningioma with prominent flow voids

Mousam Panigrahi1, Narendra K Bodhey1, Vandita Y Singh2

  • 1Department of Radiodiagnosis, All India Institute of Medical Sciences, Raipur, India.

SA Journal of Radiology
|April 17, 2024
PubMed

Insights

This case report details a rare papillary meningioma in a young male, identified by specific MRI findings. Understanding these features aided surgeons in minimizing blood loss and improving surgical outcomes.

Area of Science:

  • Neurosurgery
  • Neuroradiology
  • Oncology

Background:

  • Papillary meningiomas are rare intracranial tumors.
  • Typical meningiomas have distinct imaging characteristics.
  • Accurate diagnosis is crucial for patient management and prognosis.

Purpose of the Study:

  • To present an extremely rare case of papillary meningioma.
  • To highlight specific magnetic resonance imaging (MRI) findings, including prominent flow voids and increased perfusion parameters.
  • To discuss differentiating features from typical meningiomas for improved clinical decision-making.

Main Methods:

  • Case presentation of a 28-year-old male with headache.
  • Detailed analysis of MRI findings.
  • Review of relevant literature on papillary meningiomas.

Main Results:

  • The patient presented with headache and was diagnosed with papillary meningioma.
  • MRI revealed prominent flow voids and increased perfusion parameters, atypical for typical meningiomas.
  • Surgical intervention guided by these findings led to minimized intra-operative blood loss.

Conclusions:

  • Papillary meningiomas require specific diagnostic considerations due to their rarity and distinct imaging features.
  • Recognizing these MRI characteristics aids neurosurgeons in surgical planning.
  • Early and accurate diagnosis can lead to reduced patient morbidity and mortality.
Keywords:
flow voidsmagnetic resonance perfusionmeningiomapapillary meningiomaprognosis

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