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Characterization of necrotic meningioma using diffusion MRI, perfusion MRI, and MR spectroscopy: case report and review of the literature

  • Diagnostic Neuroradiology
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Abstract

Necrotic meningiomas are relatively rare, accounting for 1.3–3.9% of primary intracranial tumours and for 10–15% of meningiomas, but are of special clinical importance as they may resemble metastases or malignant gliomas. We report the magnetic resonance findings of diffusion-weighted imaging, perfusion-weighted imaging, and spectroscopy in a patient with a necrotic meningioma, in whom clinical symptoms and signs suggested a central nervous system infection.

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References

  1. Kleihues P, Cavenee WK (2000) Pathology and genetics of tumors of the nervous system. IARC

  2. Buetow MP, Buetow PC, Smirniotopoulos JG (1991) Typical, atypical and misleading features in meningioma. Radiographics 11:1087–1106

    CAS  PubMed  Google Scholar 

  3. Odake G (1992) Cystic meningioma: report of three patients. Neurosurgery 30:935–940

    CAS  PubMed  Google Scholar 

  4. Ebisu T, Tanaka C, Umeda M, et al (1996) Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo planar imaging. Magn Reson Imaging 14:1113–1116

    PubMed  Google Scholar 

  5. Hartmann M, Jansen O, Heiland S, et al (2001) Restricted diffusion with ring enhancement is not pathognomonic for brain abscesses. AJNR Am J Neuroradiol 22:1738–1742

    CAS  PubMed  Google Scholar 

  6. Grand S, Passaro G, Ziegler A, et al (1999) Necrotic tumor versus brain abscess: importance of amino acids detected at1H MR spectroscopy—initial results. Radiology 213:785–793

    PubMed  Google Scholar 

  7. Poptani H, Gupta RK, Jain VK, et al (1995) Cystic intracranial mass lesions: possible role of in vivo MR spectroscopy in its differential diagnosis. Magn Reson Imaging 13:1019–1029

    PubMed  Google Scholar 

  8. Burtscher IM, Holtas S (1999) In vivo proton MR spectroscopy of untreated and treated brain abscesses. AJNR Am J Neuroradiol 20:1049–1053

    CAS  PubMed  Google Scholar 

  9. Hajnal JV, Doran M, Hall AS, et al (1991) MR imaging of anisotropically restricted diffusion of water in the nervous system: technical, anatomic, and pathological considerations. J Comput Assist Tomogr 15:1–18

    CAS  PubMed  Google Scholar 

  10. Krabbe K, Gideon P, Wagn P, Hansen U, Thomsen C, Madsen F (1997) MR diffusion imaging of human intracranial tumors. Neuroradiology 39:483–489

    Article  CAS  PubMed  Google Scholar 

  11. Aronen HJ, Gazit IE, Louis DN, et al (1994) Cerebral blood volume maps of gliomas: comparison with tumor grade and histologic findings. Radiology 191:41–51

    CAS  PubMed  Google Scholar 

  12. Sugahara T, Korogi Y, Ikushima I, et al (1998) Correlation of MR imaging-determined cerebral blood volume maps with histologic and angiographic determination of vascularity of gliomas. AJR Am J Roentgenol 171:1479–1486

    Google Scholar 

  13. Hartmann M, Harting I, Heiland S, et al (2000) Value of preoperative diffusion- and perfusion-weighted MR imaging in cerebral gliomas. DGNR (abstract)

  14. Castillo M, Kwock L(1999) Clinical applications of proton magnetic resonance spectroscopy in the evaluation of common intracranial tumors. Top Magn Reson Imaging 10:104–113

    CAS  PubMed  Google Scholar 

  15. Gill SS, Thomas DG, Van Bruggen N, et al (1990) Proton MR spectroscopy of intracranial tumours: in vivo and in vitro studies. J Comput Assist Tomogr 14:497–504

    CAS  PubMed  Google Scholar 

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Author notes

  1. C. Sommer

    Present address: Neuropathology, Department of Pathology, University of Ulm Medical School, Ulm, Germany

Authors and Affiliations

  1. Department of Neuroradiology, University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany

    I. Harting, M. Hartmann & K. Sartor

  2. Department of Neurosurgery, University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany

    M. M. Bonsanto

  3. Department of Neuropathology, University of Heidelberg Medical School, Im Neuenheimer Feld 220/221, 69120, Heidelberg, Germany

    C. Sommer

Authors
  1. I. Harting
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  2. M. Hartmann
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  3. M. M. Bonsanto
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  4. C. Sommer
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  5. K. Sartor
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Corresponding author

Correspondence to I. Harting.

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Harting, I., Hartmann, M., Bonsanto, M.M. et al. Characterization of necrotic meningioma using diffusion MRI, perfusion MRI, and MR spectroscopy: case report and review of the literature. Neuroradiology 46, 189–193 (2004). https://doi.org/10.1007/s00234-003-1144-4

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  • DOI: https://doi.org/10.1007/s00234-003-1144-4

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