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Parasagittal Meningioma


Presentation

  • With so few reported cases of intracranial involvement, more experience will be necessary before this clinical presentation and prognosis can be clearly outlined.[ncbi.nlm.nih.gov]
  • Abstract A 69-year-old female presented with a rare intracranial meningeal malignant fibrous histiocytoma (MFH). The neuroimaging appearance of this tumor was very similar to parasagittal meningioma.[ncbi.nlm.nih.gov]
  • Abstract The authors present the case of a 78-year-old woman who developed right lower-extremity paralysis after a focal seizure.[ncbi.nlm.nih.gov]
  • Abstract Paraparesis can occur as a primary presentation of brain pathology at the motor strip along the parasagittal region.[ncbi.nlm.nih.gov]
  • Abstract The patient in this report had a parasagittal meningioma with an intrasinus extension that presented with features of benign intracranial hypertension and no focal neurological deficit or seizure.[ncbi.nlm.nih.gov]
Cervical Lymphadenopathy
  • It usually presents with bilateral painless cervical lymphadenopathy. In extremely rare circumstances, the CNS can be affected. Only 21 prior cases of intracranial involvement have been reported.[ncbi.nlm.nih.gov]
Hyperreflexia
  • Cranial nerve, motor, and sensory examination did not show focal deficit, with the exception of mild hyperreflexia of the right upper and lower extremities compared with the left side.[ajnr.org]
  • Her neurological examination was normal, except for a positive Babinski sign on the left and hyperreflexia in both lower extremities.[hoajonline.com]
  • Compression of the underlying parenchyma may give rise to pyramidal signs that are exemplified by pronator drift, hyperreflexia, positive Hoffman sign, and presence of the Babinski sign.[emedicine.medscape.com]
Long Tract Signs
  • The patient's toes were down-going to plantar stimulation, and there were no other long-tract signs. MR imaging revealed an extraaxial, 5 3 3.2-cm, left- sided, parafalcine mass adjacent to the precentral gyrus.[ajnr.org]
Stupor
  • ., a patient is described as having a stable neurologic exam immediately post-operatively, but in the following six hours, the exam degraded to a left sided hemiparesis and stupor.[hoajonline.com]

Workup

  • Useful appendices outline additional special examination techniques, laboratory workup for neurologic symptoms, and treatment guidelines for each disease.[books.google.com]
  • His initial workup did not reveal an anatomic etiology, and his seizures were originally treated successfully with phenobarbital and carbamazepine.[ajnr.org]
  • […] benign tumours except in cases of pituitary adenoma. [2] Meningiomas are benign, slow-growing, and highly vascularised tumours; it is extremely rare that their onset is apoplectiform, mimicking cerebrovascular incidents and thus affecting diagnostic workup[cancerjournal.net]

Treatment

  • The literature reports only single clinical cases related to this issue; opinions about the indications, surgical treatment options, and prognosis are contradictory.[ncbi.nlm.nih.gov]
  • Radiation treatment is associated with significant morbidity and is reserved as a salvage treatment in recurrent cases unresponsive to other treatment methods. 6.[neupsykey.com]
  • Synopses of etiology, diagnosis, and treatment for each disease give you the information you need to understand and address the patient's problem.[books.google.com]
  • Surgical resection is the first choice of treatment for meningiomas.[spandidos-publications.com]
  • Dramatic technological advancements have also been made in diagnostic and interventional radiology as well as in surgical and radiation treatments for meningiomas, such as incorporation of the following in the treatment armamentaria: endoscopy, various[books.google.com]

Prognosis

  • The literature reports only single clinical cases related to this issue; opinions about the indications, surgical treatment options, and prognosis are contradictory.[ncbi.nlm.nih.gov]
  • Every effort should be exerted to achieve radical resection of the tumor, which can result in a satisfactory prognosis and a low recurrence rate. Copyright 2016 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • With so few reported cases of intracranial involvement, more experience will be necessary before this clinical presentation and prognosis can be clearly outlined.[ncbi.nlm.nih.gov]
  • The clinical features and prognosis of this rare tumor that were reported previously in the literature were also reviewed.[ncbi.nlm.nih.gov]
  • In general, the more differentiated the tissue and the lower the grade, the better the prognosis.[cancermedicines.in]

Etiology

  • Synopses of etiology, diagnosis, and treatment for each disease give you the information you need to understand and address the patient's problem.[books.google.com]
  • Meningiomas 371 Orbitosphenoid Meningiomas 379 Cavernous Sinus Meningiomas Conservative Surgical Management 389 Preoperative Embolization of Meningiomas 89 Neuroophthalmic Evaluations in Patients with Meningiomas 101 Meningioma Tumorigenesis An Overview of Etiologic[books.google.com]
  • Conclusion The etiology of extraaxial, supratentorial ependymomas is unclear.[ajnr.org]
  • Costantino et al. 1990 Segmental mandibular regeneration by distraction osteogenesis: an experimental study BERGARA et al. 1955 Present state of the surgical treatment of chronic frontal sinusitis Katranji et al. 2008 Sinus augmentation complications: etiology[google.tm]
  • The most likely etiology of transient deficits following SSS ligation is venous hypertension and edema, but these are readily detected on postoperative CT perfusion or MRI studies.[hoajonline.com]

Epidemiology

  • We discuss the epidemiological and clinical features of childhood meningiomas and issues of their diagnosis, treatment, and prognosis. [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov]
  • Joint Conference of the International Society for Environmental Epidemiology (ISEE) and the International Society for Exposure Assessment (ISEA), September 2-6, 2006, Paris, in: Epidemiology, 17, 6, 74.[emf.ethz.ch]
  • "Epidemiology and etiology of meningioma" . Journal of Neuro-oncology . 99 (3): 307–14. doi : 10.1007/s11060-010-0386-3 . PMC 2945461 . PMID 20821343 . a b Starr, CJ; Cha, S (26 May 2017).[en.wikipedia.org]
  • Epidemiology of Meningioma Meningiomas account for 13 to 17 per cent of intracranial tumors in the United States. They are probably more common than realized and comprise 33 per cent of asymptomatic brain tumors in a series of 300 autopsies.[brain-tumors.tripod.com]
  • References Bondy M, Ligon BL (1996) Epidemiology and etiology of intracranial meningiomas: a review. J Neurooncol 29: 197-205. Longstreth WT Jr, Dennis LK, McGuire VM, Drangsholt MT, Koepsell TD (1993) Epidemiology of intracranial meningioma.[omicsonline.org]
Sex distribution
Age distribution

Pathophysiology

  • Meningiomas with hemorrhagic onset remain rare, and pathophysiology is still incompletely understood. Prevention and outcome of intratumoral haemorrhage highly depends on early diagnosis and adequate treatment.[cancerjournal.net]
  • PATHOPHYSIOLOGY raised intracranial pressure, disruption of cortical electrophysiology or direct mass effect on adjacent neural structures. Clinical symptoms from meningiomas develop as a result of 29 August 2016 6 7.[slideshare.net]
  • Mutations in NF2 are commonly expressed in meningiomas located in the cerebral and cerebellar hemispheres. [13] Pathophysiology [ edit ] Micrograph of a meningioma with brain invasion (WHO Grade II); the tumour (bottom/right of image) has the typical[en.wikipedia.org]
  • The detailed mechanism and pathophysiology of perilesional imaging changes after radiosurgery are unclear. Most peritumorous imaging changes are believed to be attributable to vasogenic oedema.[jnnp.bmj.com]

Prevention

  • Critical Links USPTO USPTO Assignment Espacenet Global Dossier Discuss Images Classifications A — HUMAN NECESSITIES A61 — MEDICAL OR VETERINARY SCIENCE; HYGIENE A61F — FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING[google.tm]
  • An appropriate treatment of the involved sagittal sinuses is extremely important for preventing the post-operative recurrence of tumors.[spandidos-publications.com]
  • Certain drugs can help prevent or control them.[cancer.net]
  • Prevention and outcome of intratumoral haemorrhage highly depends on early diagnosis and adequate treatment. Keywords: Meningioma, intracranial, spinal, haemorrhage How to cite this article: Vij M, Jaiswal S, Jaiswal AK, Kumar S, Behari S.[cancerjournal.net]

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