Dec 17, 2018 the radiologic differential diagnosis included metastatic tumor, lymphoma, choroid plexus papilloma, intraventricular meningioma, and glioma. You will find some basic information about this disease and the parts of the body it may affect. Intraventricular tumors pacific brain tumor center. Intraventricular meningiomas ivm are rare and only two major series from india, both from major centres have reported just nine and twelve cases of ivm respectively, over a span of twelve years we encountered one such large intraventricular lesion, in the trigone of right lateral ventricle in a thirtyfiveyearold female, which was confirmed to be a fibroblastic meningioma. Paraventricular meningioma revealed by mental disorder. Intraventricular cystic meningioma abstract we report a case of a 45yearold male patient with intraventricular cystic meningioma located in the left lateral ventricle. The majority arise in the atrium of the lateral ventricle. Case report intraventricular glioblastoma multiforme. Pdf intraventricular chordoid meningioma in a child. Intraventricular hemorrhage caused by lateral ventricular. Meningioma with intracranial haemorrhage is a rare occurrence. Lateral ventricular meningiomas presenting with primary intraventricular hemorrhage are extremely uncommon.
On ct and mri studies, metastatic disease may occasionally mimic the signal characteristics of an intraventricular meningioma 1, 4. Clinical and imaging findings, surgical approaches. The aim of this study is to share our experiences on a series of 21 patients with intraventricular meningiomas ivms. Meningioma is the second most common intracranial tumor in adults, and usually occurs on the surface of brain with extracranial metastasis reported occasionally. He presented with complaints of global headache, progressively increasing loss of memory, and frequent episodes of abnormal behavior, of 1 month duration. Intraventricular meningioma with cerebellopontine angle and. A meningioma is a tumor that arises from a layer of tissue the meninges that covers the brain and spine. Below is a listing of locations where meningiomas are found. Intraventricular tumors include benign and malignant tumors that can be treated with unique, minimally invasive surgical approaches. Meningioma refers to one or many tumors that arise in very close contact to the meninges. Intraventricular meningioma radiology reference article.
A postthyroidectomy fatality due to a silent pedunculated meningioma of the fourth ventricle of. We report here a case of primary intraventricular hemorrhage attributable to a lateral ventricular meningioma. On imaging, they classically present as vividly enhancing solid mas. The patient underwent a right craniotomy at that institution where full resection was performed without complication. The possible tumor origin primary ventricular or primary cerebral with a ventricular extension and development purely intraventricular or with transependymal growth were determined preoperatively by magnetic resonance imaging mri. After a quiescent period of 5 years, ct and magnetic resonance imaging mri demonstrated tumour recurrence at the same site. We present a series of 16 patients with histologically verified intraventricular meningiomas, the clinical and neuroradiological findings, and surgical results. A variety of surgical approaches can be selected depending on patient and tumor factors as well as on surgeon preference.
In both cases, ct and mr imaging showed large tumors located in the trigone of the right lateral ventricle that enhanced intensely after contrast administration. Anaplastic transformation of an atypical intraventricular meningioma with metastases to the liver. The tela choroidea meningeal invagination at the stromal base of the choroid plexus intraventricular meningiomas. You will find out more about body changes and other things that can signal a problem that may need medical care. People with meningioma may experience the following symptoms or signs. Intraventricular meningiomas are most often seen in the lateral ventricles of adults, more often on the left than on the right. Zhenyu fu 1,2, kan xu 1, bing xu 3, limei qu 4, jinlu yu 1. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Intraventricular meningiomas are rare intracranial tumors even though it is known to be one of the commonest intraventricular neoplasms in adults. The origin of these tumors is unclear, but results of cellculture investigations suggest they. One month postoperative mri confirms the gross total removal, but also shows a compresive subdural hydroma. Although the histology is unusual for meningioma, the patient has remained well 5 years after resection without evidence of a systemic malignancy. Therefore, it suggests that anaplastic transformation may be frequent or usual once a benign form progress to an atypical form. Special focus is given to complications, and how to minimize their occurrence.
Intraventricular meningiomas are relatively rare and represent 1% to 2% of all meningiomas. In this operative video manuscript, the author demonstrates an illustrative stepbystep technique for microsurgical resection of a giant intraventricular meningioma of the left atrium via a transcortical parietooccipital approach. Meningiomas present with a variety of histological patterns. Meningiomas vary in their symptoms and appropriate treatment options depending on their location. Glioblastoma multiforme, intraventricular, meningioma abstract case report.
Meningiomas of the ventricle system are extremely rare. Transient memory disturbance after removal of an intraventricular trigonal meningioma by a parietooccipital interhemispheric precuneus approach. We present two cases of intraventricular meningiomas, both in children. Intraventricular third ventricle meningiomas are very rare. The duration of the presenting symptoms is also relatively longer in intraventricular meningiomas when compared to other malignant intraventricular tumors. Intraventricular meningioma with cerebellopontine angle. Specifically, the tumor forms on the three layers of membranes that are called meninges. Although cognitive impairment is one of the major symptoms of ventricular tumors, few studies have reported the details of cognitive impairment before and after their surgical removal. Intraventricular meningiomas are rare intracranial tumors that represent an uncommon subtype of the moreclassical extraaxial meningioma and represent between 0. May 31, 2011 a rare case of intraventricular meningioma that arose in the atrium of the left lateral ventricle was identified in a 51yearold woman.
We try to describe the specifics of different embolic agents, and discuss the results and limitations. Mr spectroscopy was helpful in supporting a preoperative diagnosis of meningioma. By combining reverse transcriptionpolymerase chain reaction and immunohistochemical analysis, it may be shown that cytokine production, including that of interleukin il6, il1beta, and vascular endothelial growth factor, plays a role in the pathogenesis of chordoid meningioma associated with castleman syndrome. Malignant intraventricular meningioma with craniospinal. Intraventricular meningiomas, although are rare intracranial tumors, are a common type of intraventricular neoplasm in adults. Case report of calcified intraventricular meningioma and.
A postthyroidectomy fatality due to a silent pedunculated meningioma of the fourth ventricle of the brain. Meningiomas grow on the surface of the brain or spinal cord, and therefore push the brain away rather than growing from within it. Meningiomas in children are rare tumors and account for 1. Intraventricular meningiomas, a rare location for a common. Korean j radiol 22, june 2001 105 intraventricular hemorrhage caused by lateral ventricular meningioma. Symptoms depend on the location and occur as a result of the tumor pressing on nearby tissue.
The origin of these tumors can be traced to embryological invagination of arachnoid cells into the choroid plexus. The authors present the case of an 11yearold boy with an intraventricular chordoid meningioma, which is a rare presentation of prolonged fever of unknown origin due to a rare tumor in a rare. Pitfalls of preoperative and palliative embolization of. Gross total removal was performed by transcortical approach. In adults, atrial intraventricular meningiomas are among the most common tumors seen in the lateral ventricle.
In general, a cancerous tumor is malignant, meaning it can spread or grow into. As an appropriate candidate cell of origin, arachnoidal cap cells are. Also, csf or hematogenous metastases have rarely been reported regardless of tumor grade 62,63. Overall, intraventricular meningiomas account for approximately 2%5% of intracranial meningiomas 14. These include slight preponderance in male subjects, higher incidence of intraventricular and skull base location, and frequent cystic changes. Theleftlateralventricle isaffected atleast50%moreoftenthantherightone35, 7. Histologically intraventricular meningiomas commonly belong to the fibroblastic variety. Liu, md departments of neurological surgery and otolaryngologyhead and. The cells of origin are believed to be arachnoid cap cells confined to the choroid plexus. Functional 3t mri was used in nine patients for identification of the motor strip. The imaging appearances are also in keeping with an intraventricular meningioma. On imaging, they classically present as vividly enhancing solid mass at the trigone of the lateral ventricles. There were eight female and two male patients, ranging in age from 25 to 72 years with a mean age of 45. Intraventricular meningioma ivm is a rare subset, representing only 0.
May 14, 2014 this feature is not available right now. Case series of trigonal meningiomas via medica journals. Jul 14, 2017 a meningioma is a tumor that forms on membranes that cover the brain and spinal cord just inside the skull. Or, the cause of a symptom may be a different medical condition that is not a tumor. Meningiomas are tumors that arise from the arachnoidal cap cells. Meningiomas in children show some characteristic differences when compared with their adult counterparts. A medline search up to march 2018 using intraventricular meningioma returned 98 papers. Vuckovic n, kozic d, vulekovic p, vuckovic d, ostojic j, semnic r.
Review the data published on the subject to create a more comprehensive natural history of intraventricular meningiomas ivms. Intraventricular pilocytic astrocytoma with kiaa1549braf. Intraventricular meningioma occurs in the chambers that carry fluid. Meningiomas comprise 18% of all intracranial tumors. Ten patients with histologically verified intraventricular meningiomas were treated between 1974 and 1985. Department of neurosurgery, first hospital of jilin university, changchun, 021, p. The term meningioma was first introduced by cushing and eisenhardt in 1922. The clinical, pathologic, and imaging features of intraventricular neoplasms are. Sometimes, people with meningioma do not have any of these changes. Lateral ventricular meningioma presenting with intraventricular hemorrhage.
In the present case and in three previous reports, there was a history of similarbutlesssevereepisodes,suggestingthat. These tumors include gliomas, metastatic tumors, central neurocytomas, subependymal giant cell astrocytomas sega, meningiomas, ependymomas, subependymomas, germinomas and germ cell tumors, choroid plexus. Intraventricular meningiomas ivm, make up 0,53% of all intracranial meningiomas, and represent one of the most challenging tumors in neurosurgery. Mr and mrs characteristics of intraventricular meningioma. Intraventricular meningiomas are rare tumors, accounting for approximately 0. It can occur in the subdural, intracerebral, intratumoural or intraventricular space but is most common in the subarachnoid. Histopathological findings showed meningothelial meningioma with a focal atypical area which had 8% of ki67 labeling index li. This article is from surgical neurology international, volume 2. At the one month followup control the patient presented with the neurological deficits improved from the discharge moment. Meningiomas are a clinicopathologically diverse group of neoplasms with morphologic.
Intraventricular meningiomas of the fourth ventricle in. Rare reports exist of intraventricular hemorrhage secondary to an intraventricular meningioma. The presence of a large sized and welldefined lobulated trigone centered tumor in a physically healthy and neurologically stable patient favors a preoperative diagnosis of a meningioma. Intraventricular meningiomas arisefromgroups ofarachnoidfibroblasts inthetelachoroidea, whichisthevascular coreofthechoroid, continuous withthepiamater6. Jul 14, 2017 because most meningiomas grow very slowly, symptoms often develop gradually, if they develop at all. Intraventricular meningiomas constitute 2% of intracranial meningiomas, representing a challenging disease for neurosurgeons. The first recorded case of intraventricular meningiomas is probably by shaw in 1854. Although they may not cause any symptom for a long period of time, ct scan has considerably eliminated diagnostic problems.
Microsurgical resection of giant intraventricular meningioma james k. Microsurgical resection of giant intraventricular meningioma. Mar 14, 2010 transtemporal removal of an intraventricular meningioma. Anaplastic transformation of an atypical intraventricular. We report on a series of 16 intraventricular meningiomas ivms treated at our institution. Being initially asymptomatic usually attains a large size before detection.
Despite two further excisions of progressively malignant intraventricular meningiomas and treatment with radiotherapy, the patient rapidly developed bilateral cerebellopontine angle and spinal drop metastases. Very few cases of intraventricular chordoid meningioma have been reported to date. Microsurgical resection of giant intraventricular meningioma in. Primary intraventricular meningiomas are notably rare with an incidence of 0. A rare case of chordoid meningioma in the lateral ventricle observed in an adult is reported. Intraventricular meningiomas as a rule arise in the trigone29 42 54 61 and several surgical approaches to this region have been meticulously described. Between 2009 and 2012, four patients underwent microsurgical resection in our department. Ciurea et al intraventricular meningioma in 4 years old child a b c figure 3 a, b, c. Intraventricular meningioma third ventricle radiology. The incidence of intraventricular meningioma ivm is 0. Abstractbackground most of the time meningiomas are benign brain tumors and surgical removal. These tumors are often large in size and aggressive in behavior when they occur in children.
Even though it has been almost a century since the first meningioma was radically removed from the lateral ventricle by cushing, the surgical management of these tumors still remains a challenging task. Ventricular meningioma constitutes 2% of intracranial meningioma, representing a challenging disease for neurosurgeons. Intraventricular hemorrhage caused by intraventricular. Think of that menu as a roadmap for this complete guide. View a short video on brain tumors led by an asco expert that provides basic information and areas of research. A case report meningiomas causing intracranial hemorrhage are. On imaging the intraventricular meningiomas show attenuation and signal characteristics similar to other types of meningiomas. Mr spectroscopy was helpful in supporting a preoperative diagnosis of meningioma in. The meninges are the membranous layers that cover the brain and spinal cord.
Occasionally seizures, dementia, trouble talking, vision problems, one sided weakness, or. We report on a series of 16 intraventricular meningiomas ivms treated at our institution between 1980 and 2004, with a special interest on. It helps explain the number of people who are diagnosed with meningioma and general survival rates. The trigone ofthelateralventricle isthemostcommon sitefor intraventricular meningiomas 3,4. The first clinical manifestation of the disease was a prolonged fever of unknown origin. You may want to print this list and bring it to your next appointment, or download cancer. Intraventricular chordoid meningioma presenting with.
Meningioma, also known as meningeal tumor, is typically a slowgrowing tumor that forms from the meninges, the membranous layers surrounding the brain and spinal cord. Ct, mr imaging, mr spectroscopy, and angiography were performed in two men ages 21 and 48, respectively with intraventricular meningioma. In the intraventricular malignant meningiomas, the cases of anaplastic intraventricular meningiomas transformed from benign or atypical form has increased 8, 9, 23. Jan 01, 20 rare reports exist of intraventricular hemorrhage secondary to an intraventricular meningioma. Meningioma is the most common trigonal intraventricular mass in an adult. Intraventricular teratomas are heterogeneous masses with regions of low and high attenuation representing fat and calcification, respectively. See related sections symptoms and diagnosis and treatments the tumors location is most often included in its description. Clinically and radiologically, the diagnosis of meningioma was strongly favored. As a first selection step, we adopted the following inclusion criteria. The authors present the case of an 11yearold boy with an intraventricular chordoid meningioma, which is a rare presentation of prolonged fever of unknown origin due to a rare tumor in a rare location. Authors present the spectrum, indications, and techniques of the embolization of cranial tumours on a series of cases. Intraventricular chordoid meningioma presenting with castleman disease due to overproduction of interleukin6.
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