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Multiple brain tumors of different cell types with an unruptured cerebral aneurysm--case report

M Shigemori1, T Tokunaga, J Miyagi

  • 1Department of Neurosurgery, Kurume University School of Medicine, Fukuoka.

Neurologia Medico-Chirurgica
|February 1, 1991
PubMed

Insights

This case report details a rare co-occurrence of Burkitt-type lymphoma and meningioma in a patient with a cerebral aneurysm. The findings highlight the diagnostic and therapeutic challenges of multiple brain pathologies.

Area of Science:

  • Neurology
  • Oncology
  • Neurosurgery

Background:

  • Meningiomas and lymphomas are distinct primary brain tumors.
  • Cerebral aneurysms present a significant vascular risk.
  • Coexistence of these pathologies is exceptionally rare.

Observation:

  • A 49-year-old male presented with headache and right hemiparesis.
  • Neuroradiology identified a left frontal mass and an unruptured middle cerebral artery aneurysm.
  • Initial surgery debulked a meningioma; a second surgery revealed Burkitt-type lymphoma.

Findings:

  • Histopathology confirmed a benign meningioma and a subsequent Burkitt-type lymphoma.
  • The lymphoma's origin may relate to the meningioma's irritative effect.
  • The cerebral aneurysm was deemed an independent, coincidental finding.

Implications:

  • This case underscores the importance of comprehensive diagnostic evaluation in complex neurological presentations.
  • Management requires a multidisciplinary approach for coexisting neoplastic and vascular lesions.
  • Further research may explore potential links between different tumor types and vascular anomalies.

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