International Clinical Neuroscience Journal

Vol. 9 (2022)

Hemorrhagic Meningioma With Symptom of Convulsion: A Rare Presentation of Parietal Meningioma

International Clinical Neuroscience Journal, Vol. 9 (2022), 10 Dey 2022 , Page e14

Abstract

Meningioma is the most common, extra-axial, non-glial intracranial tumor with an incidence of 2.3-5.5/100 000, accounting for 20%-30% of all primary brain tumor diagnoses in adults. Meningiomas associated with intratumoral hemorrhage are very rare occurring in 0.5%-2.4%. of individuals. Herein, we report a rare case of hemorrhagic meningioma with the symptom of convulsion. The case was a 68-year-old woman admitted to the hospital with severe headache and convulsions. Computed tomography revealed an increase in heterogeneous lesion measuring 4 × 3 × 2.5 cm at the right parietal lobe. Brain magnetic resonance imaging (MRI) showed a grossly stable homogeneously enhancing extra-axial mass measuring 43 × 33 × 28 mm, small calcified peripheral, intratumoral hemorrhage. Histopathology showed a multi-celled meningioma with bleeding areas (WHO grade I).

Keywords:
  • Hemorrhagic meningioma, intracranial hemorrhage, meningioma, bleeding, convulsion.

How to Cite

1.
Phuong Hoai DT, Thanh Van DN, Tho PQ, Anh Thu NN, Phuoc LT, Hieu LT, et al. Hemorrhagic Meningioma With Symptom of Convulsion: A Rare Presentation of Parietal Meningioma. Int Clin Neurosci J [Internet]. 2022 May 21 [cited 2026 Sep. 5];9:e14. Available from: https://journals.sbmu.ac.ir/neuroscience/article/view/37567

References

Kim DG, Park CK, Paek SH, Choe GY, Gwak HS, Yoo H, et al. Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage. Acta Neurochir (Wien). 2000;142(2):165-8. doi: 10.1007/s007010050019.

Lefranc F, Nagy N, Dewitte O, Balériaux D, Brotchi J. Intracranial meningiomas revealed by non-traumatic subdural haematomas: a series of four cases. Acta Neurochir (Wien). 2001;143(10):977-83. doi: 10.1007/s007010170002.

Kwon Y, Ahn JS, Jeon SR, Kim JH, Kim CJ, Lee JK, et al. Intratumoral bleeding in meningioma after gamma knife radiosurgery. J Neurosurg. 2002;97(5 Suppl):657-62. doi: 10.3171/jns.2002.97.supplement.

Mangubat EZ, Byrne RW. Major intratumoral hemorrhage of a petroclival atypical meningioma: case report and review of literature. Skull Base. 2010;20(6):469-74. doi: 10.1055/s- 0030-1261266.

McGovern SL, Aldape KD, Munsell MF, Mahajan A, DeMonte F, Woo SY. A comparison of World Health Organization tumor grades at recurrence in patients with non-skull base and skull base meningiomas. J Neurosurg. 2010;112(5):925-33. doi: 10.3171/2009.9.jns09617.

Ziyal IM, Bilginer B, Celik O, Ozcan OE, Ozgen T. Tentorial meningioma on follow-up presenting with sudden deterioration due to intra- and peritumoral hemorrhage. Acta Neurochir (Wien). 2006;148(12):1315-6. doi: 10.1007/ s00701-006-1045-5.

Niiro M, Ishimaru K, Hirano H, Yunoue S, Kuratsu J. Clinico-pathological study of meningiomas with haemorrhagic onset. Acta Neurochir (Wien). 2003;145(9):767-72. doi: 10.1007/ s00701-003-0089-z.

Yuguang L, Meng L, Shugan Z, Yuquan J, Gang L, Xingang L, et al. Intracranial tumoural haemorrhage--a report of 58 cases. J Clin Neurosci. 2002;9(6):637-9. doi: 10.1054/ jocn.2002.1131.

Niiro M, Yatsushiro K, Nakamura K, Kawahara Y, Kuratsu J. Natural history of elderly patients with asymptomatic meningiomas. J Neurol Neurosurg Psychiatry. 2000;68(1):25- 8. doi: 10.1136/jnnp.68.1.25.

Bosnjak R, Derham C, Popović M, Ravnik J. Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome. J Neurosurg. 2005;103(3):473-84. doi: 10.3171/jns.2005.103.3.0473.

Helle TL, Conley FK. Haemorrhage associated with meningioma: a case report and review of the literature. J Neurol Neurosurg Psychiatry. 1980;43(8):725-9. doi: 10.1136/jnnp.43.8.725.

Kondziolka D, Bernstein M, Resch L, Tator CH, Fleming JF, Vanderlinden RG, et al. Significance of hemorrhage into brain tumors: clinicopathological study. J Neurosurg. 1987;67(6):852-7. doi: 10.3171/jns.1987.67.6.0852.

Onesti ST, Zahos PA, Ashkenazi E. Spontaneous hemorrhage into a convexity meningioma. Acta Neurochir (Wien). 1996;138(10):1250-1. doi: 10.1007/bf01809756.

Sinurat R, Banjarnahor JD. Incidental bleeding meningioma. Asian J Neurosurg. 2017;12(2):247-9. doi: 10.4103/1793- 5482.144195.

Wakai S, Yamakawa K, Manaka S, Takakura K. Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance. Neurosurgery. 1982;10(4):437-44. doi: 10.1227/00006123-198204000-00004.

Di Rocco F, Mannino S, Puca A, Lauriola L, Pompucci A. Intracranial meningiomas associated with non-traumatic chronic subdural hematoma. Acta Neurochir (Wien). 2006;148(10):1097-102; discussion 102. doi: 10.1007/ s00701-006-0861-y.

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