Treatment Strategy for Recurrent Hemorrhage from Meningioma: Case Report and Literature Review.

Treatment Strategy for Recurrent Hemorrhage from Meningioma: Case Report and Literature Review.

World Neurosurg. 2019 Jan 05;:

Authors: Matsuoka G, Eguchi S, Ryu B, Tominaga T, Ishikawa T, Yamaguchi K, Kawamata T

Abstract
We came across a rare case of recurrent hemorrhage from a meningioma. Here, we describe this case and discuss the treatment strategies for recurrent hemorrhage from a meningioma using a literature review. A 61-year-old woman with a history of two episodes of hemorrhage from a meningioma originating from the left falx cerebri, presented to our outpatient clinic. She was asymptomatic, and MRI revealed a small tumor along the falx cerebri; however, we decided to remove the hemorrhagic meningioma. No abnormal vascular structures were recognized on preoperative angiography and on intraoperative evaluation. The tumor was easily removed along the falx cerebri (Simpson grade I). The pathological diagnosis was transitional meningioma, World Health Organization grade I. The patient experienced no recurrence of tumor or hemorrhage for up to 15 months after surgery. The incidence of repeated bleeding from meningiomas is very rare and is seldom reported, because the mortality associated with hemorrhage in meningiomas is high (28-50%). Immediate diagnosis and surgical treatment with both hematoma evacuation and tumor removal are crucial to avoid inadequate and delayed treatment that may cause mortality.

PMID: 30620893 [PubMed - as supplied by publisher]

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