2016, Number 5
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Rev Mex Neuroci 2016; 17 (5)
Intraventricular meningioma: Report of 3 patients and review of the literature
Ramírez AR, Espinosa MJA, Villalpando EJ, Martínez SC, García EO, Alcántara EJ, Becerra EG, Castillo RC
Language: Spanish
References: 18
Page: 134-140
PDF size: 437.89 Kb.
ABSTRACT
Introduction: Shaw described intraventricular meningiomas for
the first time in 1854, this entity is very rare and can be found in 0.5-
5% of all meningiomas.
Case report: Patient 1. A 45-year-old female patient with history of
headache and homonimous hemianopia whose magnetic resonance
imaging (MRI) showed intraventricular lesion involving the left
ventricular atrium.
Patient 2. A 40-year-old female patient with history of diabetes
mellitus was admited in the emergency room for refractary seizures,
the CT scan showed a giant tumoral lesion in right ventricular atrium.
Patient 3. A 60-year-old male patient with history of partial surgical
resection of intraventricular tumour one year ago was admitted for
loss of conciousness, the CT scan showed a giant intraventricular
lesion located in the atrium.
A surgical approach through the parieto-occipital sulcus was done
with complete resection of the tumour. Pathologic analysis revealed
a transitional meningioma.
Conclusions: Intraventricular meningiomas are uncommon. In our
cases we decided to approach by the parietoccipital groove in order
to have the lowest possible neurological deficit.
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