Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage.

Abstract:

:We present a possible mechanism of intracerebral peritumoural haemorrhage in meningioma based on the clinical data of three of our cases. A meningioma manifesting intracerebral haemorrhage is uncommon and some sporadic case reports have been presented, but without any proven mechanisms. We are presenting three cases of convexity meningioma manifesting spontaneous intracerebral haemorrhage with apoplectiform onset. All three patients had no evidence of bleeding tendency or other predisposing factors for haemorrhage. Preoperative radiological studies showed a solid mass attached to the dura with intracerebral peritumoural haematoma. Total removal of the tumour and haematoma could be achieved in every case. Histological investigation revealed extensive tumour infarction in two cases and fibrosis related to pre-existing ischaemia in the other case. The diagnoses were atypical meningioma in two cases and transitional type in one case. We suggest that extensive tumour infarction might be a cause of spontaneous intracerebral peritumoural haemorrhage in our series of patients.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Kim DG,Park CK,Paek SH,Choe GY,Gwak HS,Yoo H,Jung HW

doi

10.1007/s007010050019

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

165-8

issue

2

eissn

0001-6268

issn

0942-0940

journal_volume

142

pub_type

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