Multicystic, heterogeneously enhancing meningioma in an octogenerian

• Published in: British journal of neurosurgery Vol. 18; no. 5; pp. 513 - 514
• Main Authors: Mangano, FT, Chalif, DJ, Black, KS
• Format: Journal Article
• Language: English
• Published: Abingdon Informa UK Ltd 01-10-2004; Taylor & Francis; Taylor & Francis Ltd
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Cystic meningioma; glioblastoma multiforme; Humans; Magnetic Resonance Imaging; Male; Medical diagnosis; Medical sciences; Meningeal Neoplasms - diagnosis; Meningeal Neoplasms - surgery; Meningioma - diagnosis; Meningioma - surgery; multicystic tumour; Nauta cyst types; Neurology; Neurosurgery; Older people; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tumors; multicystic tumour; Malignant glioma; Cystic meningioma; Nervous system diseases; Surgery; Central nervous system disease; Cyst; Nauta cyst types; Benign neoplasm; Malignant tumor; Glioblastoma multiforme; Meningioma
• ISSN: 0268-8697; 1360-046X
• DOI: 10.1080/02688690400012467

A multicystic meningioma in an octogenerian whose tissue diagnosis was ill-defined and misleading on preoperative neuroradiologic imaging is presented. Nauta has described four cyst types that can develop in cystic meningiomas. We report the first case in which three cyst types are demonstrated concurrently, describe the histopathology and surgical management. This case represents a rare variant of a common tumour in an unusual age group, and underscores the need for definitive biopsy and resection as indicated. Furthermore, the diagnosis of multicystic meningioma does not favour an aggressive histopathology in this case.