Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2013

Open Access 01-12-2013 | Case report

Infratentorial benign cystic meningioma mimicking a hemangioblastoma radiologically and a pilocytic astrocytoma intraoperatively: a case report

Authors: Tan Kheng Guan, Devaraj Pancharatnam, Hari Chandran, Teoh Kean Hooi, Gnana Kumar, Dharmendra Ganesan

Published in: Journal of Medical Case Reports | Issue 1/2013

Login to get access

Abstract

Introduction

Cystic meningiomas are rare variants of meningiomas; they can pose a radiological diagnostic dilemma.

Case presentation

We present a rare case of a 30-year-old Chinese woman with a histopathological diagnosis of infratentorial cystic meningioma (World Health Organization Grade 1) in which the features in imaging modalities were suggestive of a hemangioblastoma. Intraoperatively, however, the gross macroscopic features were more in keeping with a pilocytic astrocytoma.

Conclusion

In benign cystic meningiomas, particularly the infratentorial variety, radiological findings utilizing the various imaging modalities and intraoperative impressions may not be reflective of or in keeping with the final histopathological diagnosis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hardman JM: Non-glial tumors of the nervous system. Neuropathology: The clinical neurosciences. Edited by: Rosenberg RN. 1983, New York: Churchill Livingstone, 170-171. Hardman JM: Non-glial tumors of the nervous system. Neuropathology: The clinical neurosciences. Edited by: Rosenberg RN. 1983, New York: Churchill Livingstone, 170-171.
2.
go back to reference Fortuna A, Ferrante L, Acqui M, Guglielmi G, Mastronardi L: Cystic meningiomas. Acta Neurochir (Wien). 1988, 90: 23-30. 10.1007/BF01541262.CrossRef Fortuna A, Ferrante L, Acqui M, Guglielmi G, Mastronardi L: Cystic meningiomas. Acta Neurochir (Wien). 1988, 90: 23-30. 10.1007/BF01541262.CrossRef
3.
go back to reference Maiuri F, Benvenuti D, De Simone MR, Cirillo S, Corriero G, Giamundo A: Cystic lesions associated with meningiomas. Surg Neurol. 1986, 26: 591-597. 10.1016/0090-3019(86)90347-2.CrossRefPubMed Maiuri F, Benvenuti D, De Simone MR, Cirillo S, Corriero G, Giamundo A: Cystic lesions associated with meningiomas. Surg Neurol. 1986, 26: 591-597. 10.1016/0090-3019(86)90347-2.CrossRefPubMed
4.
go back to reference Nauta HJW, Tucker WS, Horsey WJ, Bilbao JM, Gonsalves C: Xanthochromic cysts associated with meningiomas. J Neurol Neurosurg Psychiatry. 1979, 42: 529-535. 10.1136/jnnp.42.6.529.CrossRefPubMedPubMedCentral Nauta HJW, Tucker WS, Horsey WJ, Bilbao JM, Gonsalves C: Xanthochromic cysts associated with meningiomas. J Neurol Neurosurg Psychiatry. 1979, 42: 529-535. 10.1136/jnnp.42.6.529.CrossRefPubMedPubMedCentral
5.
go back to reference Rengachary S, Batnitzky S, Kepes JJ, Morantz RA, O’Boynick P, Watanabe I: Cystic lesions associated with intracranial meningiomas. Neurosurgery. 1979, 4: 107-114. 10.1227/00006123-197902000-00001.CrossRefPubMed Rengachary S, Batnitzky S, Kepes JJ, Morantz RA, O’Boynick P, Watanabe I: Cystic lesions associated with intracranial meningiomas. Neurosurgery. 1979, 4: 107-114. 10.1227/00006123-197902000-00001.CrossRefPubMed
6.
go back to reference Ho VB, Smirniotopoulos JG, Murphy FM, Rushing EJ: Radiologic-pathologic correlation: hemangioblastoma. Am J Neuroradiol. 1992, 13: 1343-1352.PubMed Ho VB, Smirniotopoulos JG, Murphy FM, Rushing EJ: Radiologic-pathologic correlation: hemangioblastoma. Am J Neuroradiol. 1992, 13: 1343-1352.PubMed
7.
go back to reference Odake G: Cystic meningioma: report of three patients. Neurosurgery. 1992, 6: 935-940.CrossRef Odake G: Cystic meningioma: report of three patients. Neurosurgery. 1992, 6: 935-940.CrossRef
8.
go back to reference Falini A, Calabrese G, Origgi D, Lipari S, Triulzi F, Losa M, Scotti G: Proton magnetic resonance spectroscopy and intracranial tumors: clinical perspectives. J Neurol. 1996, 243: 706-714. 10.1007/BF00873976.CrossRefPubMed Falini A, Calabrese G, Origgi D, Lipari S, Triulzi F, Losa M, Scotti G: Proton magnetic resonance spectroscopy and intracranial tumors: clinical perspectives. J Neurol. 1996, 243: 706-714. 10.1007/BF00873976.CrossRefPubMed
Metadata
Title
Infratentorial benign cystic meningioma mimicking a hemangioblastoma radiologically and a pilocytic astrocytoma intraoperatively: a case report
Authors
Tan Kheng Guan
Devaraj Pancharatnam
Hari Chandran
Teoh Kean Hooi
Gnana Kumar
Dharmendra Ganesan
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2013
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-7-87

Other articles of this Issue 1/2013

Journal of Medical Case Reports 1/2013 Go to the issue