Multiple meningiomas with varying MRI features and postsurgical outcomes: A case report

Meningiomas, which are typically benign tumors originating from the meninges, can present as multiple lesions in rare cases, occurring in 1%-10% of patients without neurofibromatosis. This report details a case involving a 49-year-old woman who initially presented with headaches followed by blurred vision, leading to the discovery of multiple meningiomas through MRI which appears as some solid mass outside the axial plane. The DWI ADC shows varying results. The patient then underwent transsphenoidal surgery for tumor resection. Histopathological analysis confirmed the presence of a meningothelial meningioma (WHO grade I) in the sellar region. Postsurgery, the patient had a CT scan showing a residual meningioma mass and experienced significant relief from her symptoms. The patient underwent outpatient treatment and was planned to undergo reoperation and follow-up MRI. The case underscores the complexity of managing multiple meningiomas. It highlights the necessity for a multidisciplinary approach to ensure accurate diagnosis and effective treatment strategies.