Anaplastic meningioma: case report

Intracranial meningiomas continue to challenge our best clinical efforts to eliminate them once discovered and deemed appropriate for treatment. Malignant meningiomas constitute 10% to 15% of all meningiomas and limited information exists regarding adjuvant treatment. The external whole brain irradi...

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Bibliographic Details
Published in:	Arquivos de neuro-psiquiatria Vol. 59; no. 4; pp. 939 - 943
Main Authors:	Falavigna, A, Santos, J A, Chimelli, L, Ferraz, F A, Bonatelli Ad, A de P
Format:	Journal Article
Language:	English
Published:	Brazil Academia Brasileira de Neurologia - ABNEURO 01-12-2001 Academia Brasileira de Neurologia (ABNEURO)
Subjects:	Aged chemotherapy Humans Immunotherapy Male Meningeal Neoplasms - radiotherapy Meningeal Neoplasms - surgery Meningeal Neoplasms - therapy Meningioma - radiotherapy Meningioma - surgery Meningioma - therapy NEUROSCIENCES papillary meningioma pathology PSYCHIATRY radiotherapy pathology papillary meningioma patologia radioterapia quimioterapia radiotherapy meningeoma papilar chemotherapy
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Summary:	Intracranial meningiomas continue to challenge our best clinical efforts to eliminate them once discovered and deemed appropriate for treatment. Malignant meningiomas constitute 10% to 15% of all meningiomas and limited information exists regarding adjuvant treatment. The external whole brain irradiation is recommended. Traditional chemotherapy has proven ineffective; thus, new chemotherapeutic agents and new methods of delivery should be developed. Immunotherapy may be considered for patients with malignant meningiomas when all others previous treatment have failed. We report a case of anaplastic papillary meningioma. A 67-year-old man presented with partial complex seizures, headache and aggressiveness. A computerized tomography and magnetic resonance image demonstrated a large left temporo-occipital mass with diffuse contrast enhancement and extensive surrounding edema. A left temporo-occipital flap was performed. The tumor and the infiltrated dura were radically removed. Postoperatively, the patient remained neurologically intact. The treatment was complemented by external whole brain radiation.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Case Study-3 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4
ISSN:	0004-282X 1678-4227 0004-282X 1678-4227
DOI:	10.1590/S0004-282X2001000600019