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Cystic meningiomas

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Summary

Twenty-two cases of unusual intracranial meningioma associated with a cyst are reported and 144 published cases reviewed. The complex mechanisms leading to the formation of the cyst within the meningioma are analyzed on the basis of the surgical and histopathological evidence. The neuroradiological features (Computed Tomography and Angiography) which supply a correct preoperative diagnosis are discussed. It is clear from the literature how difficult preoperative diagnosis is, being possible only in 38% of cases with CT scanning and in 13% with angiography. It is necessary to remove not only the solid portion of the meningioma but also the cyst wall in order to prevent a recurrence. This is technically difficult for the type II intratumoural variety of Nauta's classification.

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References

  1. Amano K, Miura N, Tajika Y, Matsumori K, Kubo O, Kobayashi N, Kitamura K (1980) Cystic meningioma in 10 months old infant. Case report. J Neurosurg 52: 829–833

    Google Scholar 

  2. Aydin Y, Yolas C, Konte H, Aydin IN (1985) Cystic meningiomas: report of two cases. Neurosurg 16 (1): 87–89

    Google Scholar 

  3. Barontini F, Sita D, Mennonna P (1982) A case of cystic meningioma mimicking an astrocytoma. J Neurol 227: 165–169

    Google Scholar 

  4. Becker D, Norman D, Wilson CB (1979) Computerized tomography and pathological correlation in cystic meningiomas. A report of two cases. J Neurosurg 50: 103–105

    Google Scholar 

  5. Boixados JR, Labato RD, Estevez J, Cordoba A (1974) Cystic meningioma of posterior fossa. Surg Neurol 2: 289–291

    Google Scholar 

  6. Bowen H, Burger PC, Odom GL, Dubois PJ, Blue JM (1981) Meningiomas associated with large cysts with neoplastic cells in the cyst walls. J Neurosurg 55: 473–478

    Google Scholar 

  7. Claveria LE, Sutton D, Tress BM (1977) The radiological diagnosis of meningiomas, the impact of EMI scanning. Br J Radiol 50: 15–22

    Google Scholar 

  8. Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behavior, life history and surgical end results. Ch C Thomas, Springfield, Ill

    Google Scholar 

  9. Dell S, Ganti SR, Steinberger A, McMurthry III J (1982) Cystic meningiomas: a clinicoradiological study. J Neurosurg 57: 8–13

    Google Scholar 

  10. Dinakar I, Balaparameswara RS (1971) Cystic meningioma in a child. Indian J Pediat 38: 223–224

    Google Scholar 

  11. Dong H, Huang SH (1980) Congenital meningioma. Clin Med J 93: 159–163

    Google Scholar 

  12. Endo S, Aihara H (1978) Intracranial meningioma of the newborn: a case report. No To Hattatsu 10: 248–251

    Google Scholar 

  13. Florin RE, Reid ND (1961) Congenital angioblastic meningioma: review of literature and report of case. Bull Los Angeles Neurol Soc 26: 151–156

    Google Scholar 

  14. Frankhauser H, de Tribolet N (1983) Meningioma associated with a large cyst. Neurochirurgia 26: 154–155

    Google Scholar 

  15. French L (1959) Tumors. Intracranial and cranial. In: Jackson IJ, Thompson RK (eds) Pediatric neurosurgery. Blackwell Scientific, Oxford, pp 224–350

    Google Scholar 

  16. Goran A, Ciminiello VJ, Fisher RG (1965) Hemorrhage into meningiomas. Arch Neurol 13: 65–69

    Google Scholar 

  17. Hadani MA, Rappaport ZH, Findler G, Tadmor R, Sahar A (1985) Recurrent cystic meningiomas. Neurochirurgia 28: 202–204

    Google Scholar 

  18. Henry JM, Schwartz FT, Sartawi MA (1974) Cystic meningiomas simulating astrocytomas. Report of three cases. J Neurosurg 40: 647–650

    Google Scholar 

  19. Katayama Y, Tsubokawa T, Yoshida K (1986) Cystic meningiomas in infancy. Surg Neurol 25: 43–48

    Google Scholar 

  20. Katsuragi M, Ide K, Kichikawa K, Yoshioka P, Otsuji H, Matsuo T, Fukusumi A, Iwasaki S, Kobayashi Y, Odani R, Imanishi M, Iwanaga H (1982) Cystic meningioma. Rinsho Hoshasen 27 (11): 1279–1282

    Google Scholar 

  21. Ichitsubo H, Takanashi K, Koba T, Miwa T, Kaneko M (1981) A study of cystic meningioma. Neurol Med Chir (Tokyo) 21 (8): 873–879

    Google Scholar 

  22. Imagawa K, Nomura T, Asai A, Hayashi M, Toda I, Kawasaki M, Yokoi K (1983) Cystic meningioma: report of two cases (jpn). No Shinkei Geka 11: 513–518

    Google Scholar 

  23. Inoue T, Kuromatsu C, Sawada K, Matsushima T (1986) Recurrent cystic meningiomas. Surg Neurol 26: 399–404

    Google Scholar 

  24. Lake P, Heiden JS, Minckler J (1973) Cystic meningioma. Case report. J Neurosurg 38: 638–641

    Google Scholar 

  25. Lapresle J, Netsky MG, Zimmerman HM (1952) The pathology of meningiomas: a study of 121 cases. Am J Pathol 28: 757–791

    Google Scholar 

  26. Le Beau J, Cophignon J (1963) Meningiomes sus-tentoriels avec kyste. Neurochirurgie 9: 81–87

    Google Scholar 

  27. Lesoin F, Jomin M, Dupard T, Rousseaux M, Viaud C, Krivosic I, Lozes G, Delandsheer JM (1985) Les meningiomes kystiques 3 observations. Neurochirurgie 31: 421–424

    Google Scholar 

  28. Maiuri F, Benvenuti D, de Simone MR, Cirillo S, Corriero G, Giamundo A (1986) Cystic lesions associated with meningiomas. Surg Neurol 26: 591–597

    Google Scholar 

  29. Matsushima T, Kinoshita K, Numaguchi Y, Oda K (1978) Cystic meningioma. A case report. No Shinkei Geka 6: 167–171

    Google Scholar 

  30. Mendiratta SS, Rosenblum JA, Strobos RJ (1967) Congenital meningioma. Neurology 17: 914–918

    Google Scholar 

  31. Meyer H, Scheller H (1937) über ein Fibromixon Meningeoma des Gehirns. Arch 300: 473–490

    Google Scholar 

  32. Moraci A, Cioffi F (1976) Le meningiome kystique. Neurochirurgie 22 (7): 701–710

    Google Scholar 

  33. Moromoto M, Aoki H, Sadamitsu N, Nakashima R (1976) Cystic meningioma. Report of two cases. No Shinkei Geka 4: 805–809

    Google Scholar 

  34. Motomochi M, Makita Y, Nabeshima S, Itagaki T, Tei T, Keyaki A (1983) Cystic meningioma. Report of a case and review of the literature. Neurol Med Chir (Tokyo) 23 (4): 282–288

    Google Scholar 

  35. Nauta HJW, Tucker WS, Horsey WJ, Bilbao JM, Gonsalves C (1979) Xanthochromic cysts associated with meningioma. J Neurol Neurosurg Psychiat 42: 529–535

    Google Scholar 

  36. Numaguchi Y, Hoffman JC, O'Brian MS, Fukui M, Matsuura K, Kitamura K (1978) Meningiomas in childhood and adolescence. Neurol Med Chir (Tokyo) 18: 119–127

    Google Scholar 

  37. Olivecrona H (1947) The parasagittal meningiomas. J Neurosurg 4: 327–341

    Google Scholar 

  38. Parisi G, Tropea R, Giuffrida S, Lombardo M, Giuffrè F (1986) Cystic meningiomas. Report of seven cases. J Neurosurg 64: 35–38

    Google Scholar 

  39. Pexton R, Ambrose J (1974) The EMI-scanner: a brief review of first 650 patients. Br J Radiol 47: 530–565

    Google Scholar 

  40. Pinna G, Beltramello A, Buffatti P, Signorini G, Colombari R, Bricolo A, Dalle Ore G (1986) Cystic meningiomas. An update. Surg Neurol 25: 441–452

    Google Scholar 

  41. Portugal JR, Alencar A, Brito Lira RC, Carvalho P (1984) Melanotic meningioma complicated by disseminated intravascular coagulation. Surg Neurol 21: 275–281

    Google Scholar 

  42. Ramamurthi B, Anguli VC (1958) Meningiomas with cystic changes. Neurology India 6: 42

    Google Scholar 

  43. Rengachary S, Batnitzky S, Kepes JJ, Morantz RA, O'Boynick P, Watanabe I (1979) Cystic lesions associated with intracranial meningioma. Neurosurgery 4 (2): 107–114

    Google Scholar 

  44. Ruelle A, Mariotti E, Boccardo M (1985) “True” cystic meningiomas [Letter]. J Neurol Neurosurg Psychiat 48 (7): 716–718

    Google Scholar 

  45. Russel EJ, George AE, Kricheff II, Budzilovic G (1980) Atypical computed tomographic features of intracranial meningioma. Radiology 135: 673–682

    Google Scholar 

  46. Russel DS, Rubinstein LJ (1977) Pathological tumors of the nervous system. William & Wilkins, Baltimore

    Google Scholar 

  47. Sato O, Furihata T, Tsuchida T, Sakino H, Nakamura N, Sano K (1971) The cystic meningiomas (jpn). No To Shinkei 9: 23–33

    Google Scholar 

  48. Satyanarayana K, Chandy SM, Rao TS (1975) Congenital meningioma with subdural hygroma and poroencephaly (a case report). Neurol India 23: 57–58

    Google Scholar 

  49. Siegel RM, Messina AV (1976) Computed tomography: the anatomic basis of the zone of diminished density surrounding meningiomas. Am J Roentgenol 127: 139–141

    Google Scholar 

  50. Steinhoff H, Lanksch W, Kazner E (1977) Computed tomography in the diagnosis and differential diagnosis of glioblastomas. A qualitative study of 295 cases. Neuroradiol 14: 193–200

    Google Scholar 

  51. Suematsu K, Tokuda S, Miyazaki Y (1974) Intracranial meningioma in five old infant: a case report and review of the literature. No To Shinkei 26: 453–464

    Google Scholar 

  52. Szilwowski HB, Cumings JN (1961) The diagnostic value of the chemical examination of cerebral cyst fluids. Brain 84: 204–211

    Google Scholar 

  53. Takahashi T, Harada T, Terada H, Nakata Y, Mizuno T, Kyoi K, Utsumi S, Hori Y (1975) A case report of cystic meningioma. J Nara Med Assoc 26 (2): 162–165

    Google Scholar 

  54. Taptas JN (1961) Intracranial meningioma in a four months old infant simulating subdural hematoma. J Neurosurg 18: 120–121

    Google Scholar 

  55. Tomura N, Tamakawa Y, Kato T, Kurita T, Kawakami K (1984) A case of cystic meningioma. Rinsho Hoshasen 29 (7): 801–804

    Google Scholar 

  56. Wentworth AF, Clare FB, Bell HS (1961) Angioblastic meningioma in a child: report of a case followed five years. J Neurosurg 18: 252–254

    Google Scholar 

  57. Worthington C, Caron JL, Melanson D, Leblanc R (1985) Meningioma cysts. Neurology 35: 1720–1724

    Google Scholar 

  58. Zulch KL (1971) Atlas of the histology of brain tumors. Springer, New York

    Google Scholar 

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Author notes

  1. L. Ferrante M.D.

    Present address: Clinica Neurochirurgica, Viale dell'Università 30/A, I-00185, Roma, Italy

Authors and Affiliations

  1. Dipartimento di Scienze Neurologiche, Universitá degli Studi di Roma “La Sapienza”, Sezione di Neurochirurgia, Roma, Italy

    A. Fortuna, L. Ferrante M.D., M. Acqui, G. Guglielmi & L. Mastronardi

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Fortuna, A., Ferrante, L., Acqui, M. et al. Cystic meningiomas. Acta neurochir 90, 23–30 (1988). https://doi.org/10.1007/BF01541262

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