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Massive cystic falcine meningioma presented with slight symptoms: a case report
Mostafa Hassan1, Iyas Salman1, Ali Salman2
1Faculty of Medicine.
Introduction And Importance:
Meningiomas are the most common intracranial tumors while their presence with cysts is relatively low. In general, large ones usually present with severe symptoms and have a high recurrence rate even after total resection which is also difficult.
Case Presentation:
The authors present a case of an elderly patient with a large Falcine meningioma associated with peritumoral cysts. The patient presented with mild symptoms despite the tumor's significant size. Imaging studies revealed a large mass in the falcine region with peritumoral cysts. The patient underwent surgical resection of the tumor, which was completed without complications.
Clinical Discussion:
The atypical presentation of this large Falcine meningioma with peritumoral cysts highlights the variability in clinical manifestations of these tumors. Despite the tumor's size and the presence of peritumoral cysts, the patient experienced mild symptoms and recovered after relatively easy surgery challenging conventional expectations.
Conclusion:
The successful outcome of this case demonstrates that even large meningiomas can present with mild symptoms. Medical practitioners should not always link the tumor size to the severity of symptoms, recurrence rate, and complexity of surgery.
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.
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