A case of microcystic meningioma associated with acute subdural hematoma in the posterior cranial fossa

Kiyotaka Kuroda, MD; Joji Tokugawa, MD, PhD; Motoki Yamataka, MD; Kazuki Nishioka, MD; Tetsuya Ueda, MD; Takumi Mitsuhashi, MD, PhD; Takashi Mitsuhashi, MD, PhD; Makoto Hishii, MD, PhD

Radiology Case Reports (Oct 2022)

A case of microcystic meningioma associated with acute subdural hematoma in the posterior cranial fossa

Kiyotaka Kuroda, MD,
Joji Tokugawa, MD, PhD,
Motoki Yamataka, MD,
Kazuki Nishioka, MD,
Tetsuya Ueda, MD,
Takumi Mitsuhashi, MD, PhD,
Takashi Mitsuhashi, MD, PhD,
Makoto Hishii, MD, PhD

Affiliations

Kiyotaka Kuroda, MD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Joji Tokugawa, MD, PhD: Corresponding author.; Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Motoki Yamataka, MD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Kazuki Nishioka, MD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Tetsuya Ueda, MD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Takumi Mitsuhashi, MD, PhD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Takashi Mitsuhashi, MD, PhD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan
Makoto Hishii, MD, PhD: Department of Neurosurgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan

Journal volume & issue: Vol. 17, no. 10
pp. 3646 – 3650

Abstract

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A 53-year-old woman was brought to the emergency room with headache and progressive deterioration of consciousness. Radiological examinations revealed acute subdural hematoma extending along the cerebellar tentorium to the falx cerebri, and a mass lesion with hemorrhage in the left cerebellum, with acute hydrocephalus. Emergency tumor and hematoma removal with decompressive craniectomy of the occiput was performed. Histopathological diagnosis was microcystic meningioma. Postoperatively, the patient recovered to clear consciousness with sequelae of left cerebellar ataxia, cerebellar dysarthria, and vertigo. This case of tentorial microcystic meningioma associated with acute subdural hematoma in the posterior cranial fossa is extremely rare, with only reported 4 similar cases.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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