Anaplastic meningioma with intratumoral abscess; Case report and literature review

Abstract

Background: Tumor infections are uncommon, and often misdiagnosed entity, with no pathognomonic signs or characteristic clinical presentation. A useful tool for its diagnostic approach is the magnetic resonance image. Treatment should include tumor removal plus infection management. Case description: We present a patient who arrives at the emergency department with rapid neurological deterioration with no specific signs and symptoms, radiological behaved as multiple brain abscess associated with subdural hematoma. In the operating room, we diagnosed a tumor with an associated abscess. Conclusions: It should be useful to consider in some scenarios, multiple alternative diagnoses when the clinical picture does not match with the classical presentation and exhaust the radiological armamentarium before planning a surgery when feasible. Also, we present the first case of an abscessed anaplastic (malignant) meningioma.

Keywords

• Abscess
• Anaplastic
• Atypical
• Hematoma
• Meningioma
• Subdural