Massive cystic falcine meningioma presented with slight symptoms: a case report

Mostafa Hassan1, Iyas Salman1, Ali Salman2

  • 1Faculty of Medicine.

Abstract

Insights

Large falcine meningiomas with cysts can present with mild symptoms, challenging typical expectations. This case highlights that tumor size does not always correlate with symptom severity or surgical difficulty.

Area of Science:

  • Neurosurgery
  • Oncology
  • Neuropathology

Background:

  • Meningiomas are the most common primary intracranial tumors.
  • Large meningiomas often present with severe symptoms and have high recurrence rates.
  • Meningiomas with peritumoral cysts are relatively uncommon.

Observation:

  • An elderly patient presented with a large falcine meningioma and associated peritumoral cysts.
  • Despite the tumor's significant size, the patient exhibited only mild symptoms.
  • Surgical resection of the tumor was completed without complications.

Findings:

  • The case demonstrates an atypical presentation of a large falcine meningioma with peritumoral cysts.
  • The patient's mild symptoms contrasted with the expected severity for a tumor of this size.
  • Surgical outcomes were favorable, challenging conventional assumptions.

Implications:

  • Clinical presentation of meningiomas can be highly variable.
  • Tumor size alone is not a definitive predictor of symptom severity or surgical complexity.
  • Further research into factors influencing meningioma presentation and outcomes is warranted.

Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Cirrhosis I: Introduction01:23

Cirrhosis I: Introduction

Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...