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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

Intraparenchymal meningioma mimicking cavernous malformation: a case report and review of the literature

Authors: Senol Jadik, Alexandru C Stan, Uwe Dietrich, Terttu A Pietilä, Alaa Eldin Elsharkawy

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

Introduction

A primary intraparenchymal meningioma located in the subcortical region of the brain without a dural attachment is extremely rare. To the best of our knowledge, this is the first report showing that meningioma can mimic cavernous malformations.

Case presentation

We present the case of a 42-year-old German man who presented to our institution with seizure. Both computed tomography and magnetic resonance imaging scans showed characters of an intra-axial subcortical lesion with a ‘popcorn’ appearance and hemosiderin deposits in the right parietal lobe. The initial diagnosis was cavernous malformation. Intraoperatively, the lesion presented as a subcortical mass that had no connection to the dura or the ventricle. The histological diagnosis showed a WHO Grade 1 ‘raddled’ psammomatous meningioma with extensive metaplastic ossification. A literature review of 29 cases of intraparenchymal meningiomas regarding their clinical presentations, location and management was performed.

Conclusions

Meningiomas can be found in any region of the brain with and without dural attachment. Intraparenchymal meningiomas can have multiple entities mimicking their presentation. Caution must be used regarding the preoperative differential diagnosis.
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Metadata
Title
Intraparenchymal meningioma mimicking cavernous malformation: a case report and review of the literature
Authors
Senol Jadik
Alexandru C Stan
Uwe Dietrich
Terttu A Pietilä
Alaa Eldin Elsharkawy
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-467

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