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Published in: Neuroradiology 3/2004

01-03-2004 | Diagnostic Neuroradiology

Characterization of necrotic meningioma using diffusion MRI, perfusion MRI, and MR spectroscopy: case report and review of the literature

Authors: I. Harting, M. Hartmann, M. M. Bonsanto, C. Sommer, K. Sartor

Published in: Neuroradiology | Issue 3/2004

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Abstract

Necrotic meningiomas are relatively rare, accounting for 1.3–3.9% of primary intracranial tumours and for 10–15% of meningiomas, but are of special clinical importance as they may resemble metastases or malignant gliomas. We report the magnetic resonance findings of diffusion-weighted imaging, perfusion-weighted imaging, and spectroscopy in a patient with a necrotic meningioma, in whom clinical symptoms and signs suggested a central nervous system infection.
Literature
1.
go back to reference Kleihues P, Cavenee WK (2000) Pathology and genetics of tumors of the nervous system. IARC Kleihues P, Cavenee WK (2000) Pathology and genetics of tumors of the nervous system. IARC
2.
go back to reference Buetow MP, Buetow PC, Smirniotopoulos JG (1991) Typical, atypical and misleading features in meningioma. Radiographics 11:1087–1106PubMed Buetow MP, Buetow PC, Smirniotopoulos JG (1991) Typical, atypical and misleading features in meningioma. Radiographics 11:1087–1106PubMed
3.
go back to reference Odake G (1992) Cystic meningioma: report of three patients. Neurosurgery 30:935–940PubMed Odake G (1992) Cystic meningioma: report of three patients. Neurosurgery 30:935–940PubMed
4.
go back to reference Ebisu T, Tanaka C, Umeda M, et al (1996) Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo planar imaging. Magn Reson Imaging 14:1113–1116PubMed Ebisu T, Tanaka C, Umeda M, et al (1996) Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo planar imaging. Magn Reson Imaging 14:1113–1116PubMed
5.
go back to reference Hartmann M, Jansen O, Heiland S, et al (2001) Restricted diffusion with ring enhancement is not pathognomonic for brain abscesses. AJNR Am J Neuroradiol 22:1738–1742PubMed Hartmann M, Jansen O, Heiland S, et al (2001) Restricted diffusion with ring enhancement is not pathognomonic for brain abscesses. AJNR Am J Neuroradiol 22:1738–1742PubMed
6.
go back to reference Grand S, Passaro G, Ziegler A, et al (1999) Necrotic tumor versus brain abscess: importance of amino acids detected at1H MR spectroscopy—initial results. Radiology 213:785–793PubMed Grand S, Passaro G, Ziegler A, et al (1999) Necrotic tumor versus brain abscess: importance of amino acids detected at1H MR spectroscopy—initial results. Radiology 213:785–793PubMed
7.
go back to reference Poptani H, Gupta RK, Jain VK, et al (1995) Cystic intracranial mass lesions: possible role of in vivo MR spectroscopy in its differential diagnosis. Magn Reson Imaging 13:1019–1029PubMed Poptani H, Gupta RK, Jain VK, et al (1995) Cystic intracranial mass lesions: possible role of in vivo MR spectroscopy in its differential diagnosis. Magn Reson Imaging 13:1019–1029PubMed
8.
go back to reference Burtscher IM, Holtas S (1999) In vivo proton MR spectroscopy of untreated and treated brain abscesses. AJNR Am J Neuroradiol 20:1049–1053PubMed Burtscher IM, Holtas S (1999) In vivo proton MR spectroscopy of untreated and treated brain abscesses. AJNR Am J Neuroradiol 20:1049–1053PubMed
9.
go back to reference Hajnal JV, Doran M, Hall AS, et al (1991) MR imaging of anisotropically restricted diffusion of water in the nervous system: technical, anatomic, and pathological considerations. J Comput Assist Tomogr 15:1–18PubMed Hajnal JV, Doran M, Hall AS, et al (1991) MR imaging of anisotropically restricted diffusion of water in the nervous system: technical, anatomic, and pathological considerations. J Comput Assist Tomogr 15:1–18PubMed
10.
go back to reference Krabbe K, Gideon P, Wagn P, Hansen U, Thomsen C, Madsen F (1997) MR diffusion imaging of human intracranial tumors. Neuroradiology 39:483–489CrossRefPubMed Krabbe K, Gideon P, Wagn P, Hansen U, Thomsen C, Madsen F (1997) MR diffusion imaging of human intracranial tumors. Neuroradiology 39:483–489CrossRefPubMed
11.
go back to reference Aronen HJ, Gazit IE, Louis DN, et al (1994) Cerebral blood volume maps of gliomas: comparison with tumor grade and histologic findings. Radiology 191:41–51PubMed Aronen HJ, Gazit IE, Louis DN, et al (1994) Cerebral blood volume maps of gliomas: comparison with tumor grade and histologic findings. Radiology 191:41–51PubMed
12.
go back to reference Sugahara T, Korogi Y, Ikushima I, et al (1998) Correlation of MR imaging-determined cerebral blood volume maps with histologic and angiographic determination of vascularity of gliomas. AJR Am J Roentgenol 171:1479–1486 Sugahara T, Korogi Y, Ikushima I, et al (1998) Correlation of MR imaging-determined cerebral blood volume maps with histologic and angiographic determination of vascularity of gliomas. AJR Am J Roentgenol 171:1479–1486
13.
go back to reference Hartmann M, Harting I, Heiland S, et al (2000) Value of preoperative diffusion- and perfusion-weighted MR imaging in cerebral gliomas. DGNR (abstract) Hartmann M, Harting I, Heiland S, et al (2000) Value of preoperative diffusion- and perfusion-weighted MR imaging in cerebral gliomas. DGNR (abstract)
14.
go back to reference Castillo M, Kwock L(1999) Clinical applications of proton magnetic resonance spectroscopy in the evaluation of common intracranial tumors. Top Magn Reson Imaging 10:104–113PubMed Castillo M, Kwock L(1999) Clinical applications of proton magnetic resonance spectroscopy in the evaluation of common intracranial tumors. Top Magn Reson Imaging 10:104–113PubMed
15.
go back to reference Gill SS, Thomas DG, Van Bruggen N, et al (1990) Proton MR spectroscopy of intracranial tumours: in vivo and in vitro studies. J Comput Assist Tomogr 14:497–504PubMed Gill SS, Thomas DG, Van Bruggen N, et al (1990) Proton MR spectroscopy of intracranial tumours: in vivo and in vitro studies. J Comput Assist Tomogr 14:497–504PubMed
Metadata
Title
Characterization of necrotic meningioma using diffusion MRI, perfusion MRI, and MR spectroscopy: case report and review of the literature
Authors
I. Harting
M. Hartmann
M. M. Bonsanto
C. Sommer
K. Sartor
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 3/2004
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-003-1144-4

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