TITLE:
Management and Diagnosis Challenges in Cystic Meningioma. A Case Report and Review of Literature
AUTHORS:
Mustapha Hemama, Nourou Dine Adeniran Bankole, Moussa Denou, Kaoutar Znati, Nizare El Fatemi, Moulay Rachid El Maquili
KEYWORDS:
Meningiomas, Cyst, Differential Diagnosis, Case Report
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.10 No.2,
February
28,
2020
ABSTRACT: Background: Cystic meningioma is a rare variety of meningioma. It represents 4% to 7% of all meningiomas. The authors report a case of intracranial cystic meningioma with a review of literature. Case Report: A 59-year-old female presented with a history of headache followed by left side hemiplegia. CT scan and MRI of the brain showed a right parietal tumor with double solid and cystic components thought to be pilocytic astrocytoma or metastasis preoperatively. At surgery, the extraaxial solid and cystic lesion had a well defined capsule that could be easily separated from the perilesional cortical surface. The tumor was totally removed and the cyst was punctioned. The histological study showed a cystic meningioma WHO Grade I. A follow-up at 10 months after surgery, the patient was going well and recovered from the hemiplegiaa. Conclusion: Cystic meningioma is an uncommon tumor that should be considered in the differential diagnosis of brain tumors with a cystic component. The preoperative diagnosis and management could be in some cases challenging.