Cordoid Meningioma A Case Report

2021 ◽  
pp. 1-2
Author(s):  
Romero Cargina ◽  
Keyword(s):  
Case Report ◽  
High Growth ◽  
Brain Parenchyma ◽  
Clinical Aspects ◽  
High Recurrence Rate ◽  
Chordoid Meningioma ◽  
The Central Nervous System ◽  
Grade Ii ◽  
Aggressive Histology ◽  
Aggressive Clinical Course

Introduction: Meningiomas are tumors of the central nervous system derived from the arachnoid layer of cells, represent less than 3% of all primary intracranial tumors in children, are prevalent in adolescents, and are rare in younger ages. Pediatric cases represent approximately 1.5% of all intracranial meningiomas, and very few cases show aggressive histology. The WHO classification meningioma divided into three grades: Grade I benign; II, atypical; and III, anaplastic / malignant. Chordoid meningioma grade II / atypical meningioma is a rare subtype, which represents only 0.5% of all meningiomas, have high growth rates, higher recurrence and greater possibilities to invade the brain parenchyma compared with meningiomas benign. One possible explanation for the high recurrence rate may be related to the quality mucoid stroma, which facilitates extension of tumor and makes it difficult to achieve a complete resection, which leads to subsequent recurrence. Case Report: We report the case of male patient 4 years of age diagnosed with meningioma Grade II, with clinic 2 months of evolution who presented progressive neurological deterioration, tumoral exeresis was performed in 3 opportunities and placement system ventriculo peritoneal in the course of 1 month and radiotherapy. Comments: Accurate diagnosis, therefore, assumes importance because these tumors have an aggressive clinical course and high probability of recurrence so knowing the pathological Clinical Aspects of this rare neoplasm is essential for the Treatment and Comprehensive monitoring.

scholarly journals Non-aneurismatic subarachnoidal hemorrahge of hypertensive etiology: case report

2021 ◽  
Author(s):  
Mayara Menezes Attuy ◽  
Lucas Hideo Yamanaka ◽  
Wylson Azevedo
Keyword(s):  
Case Report ◽  
Arterial Hypertension ◽  
Alcoholic Beverages ◽  
Excessive Alcohol Consumption ◽  
Blood Distribution ◽  
Right Cerebral Hemisphere ◽  
Imaging Results ◽  
The Central Nervous System ◽  
Grade Ii ◽  
The Right

Context: Subarachnoid hemorrhage (SAH) is a neurological emergency defined by the leakage of blood into the spaces that cover the central nervous system. Non-aneurysmatic SAH is defined according to the blood distribution on computed tomography (CT). Perimensencephalic SAH (PM-SAH) has blood distribution in perimesencephalic cisterns in front of the brain stem. Non- perimesencephalic SAH has a more diffuse distribution. Case report: A 54 years old man with systemic arterial hypertension. He reported that he had consumed alcoholic beverages the night before. On the morning of hospitalization he had a headache with loss of sensation on the left side of his body. In the EC, he presented sweating, left parestesia, mild dyslalia and deviation from the right rhyme. A cranial CT scan was performed revealing SAH involving the cisterns and furrows near the right cerebral hemisphere, next to the Sylvian fissure. The clinical and imaging results demonstrated SAH grade II Hunt & Hess and Fischer II, Glasgow 15, without motor loss. Cerebral angiography, the gold standard for the diagnosis and mapping of aneurysms, was performed, with a negative result. On the last day of hospitalization, CT and Doppler indicated resorption of edema and absence of vasospasm, respectively. There was also an adjustment of the hypertensive medications of the patient who did not have sequelae. Conclusion: PMs-SAH have excelente prognosis in short and long term with no risk of future rebleeds. The event occurred after an episode of excessive alcohol consumption in addition to decompensated arterial hypertension.

scholarly journals Adult chordoid meningioma: a case report

2018 ◽  
Vol 6 (4) ◽  
pp. 1471
Author(s):  
Lakshmipriya U. ◽  
Umasankar P. ◽  
Asiq Sideeque ◽  
Aparna Govindan
Keyword(s):  
Case Report ◽  
Aggressive Behavior ◽  
Castleman Disease ◽  
Total Excision ◽  
Rare Tumour ◽  
Chordoid Meningioma ◽  
Who Grade ◽  
Grade Ii ◽  
Systemic Manifestations ◽  
Vacuolated Cells

Chordoid meningioma is a rare tumour accounting for less than 0.5% of all meningiomas. It is a WHO grade II tumour with an aggressive behavior. It is a rare variant characterized by cords or trabeculae of eosinophilic or vacuolated cells set in an abundant mucoid matrix. It can be associated with systemic or hematologic manifestations like Castleman disease. The tumor has a propensity for aggressive behavior and increased likelihood of recurrence We report a case of an adult patient with chordoid meningioma who presented with headache and seizures and did not have any hematological/ systemic manifestations. She underwent total excision of the lesion and is doing well.

scholarly journals Chordoid Meningioma: Literature Review

2020 ◽  
Vol 39 (01) ◽  
pp. 012-015
Author(s):  
Carlos Roberto Massella Junior ◽  
Marcus Vinicius de Morais ◽  
Rafael Pontes Figueiredo ◽  
Andrezza Garcia Morales ◽  
Paulo Mácio Porto de Melo
Keyword(s):  
World Health ◽  
Diagnostic Challenge ◽  
Chordoid Meningioma ◽  
Who Grade ◽  
Genetic Studies ◽  
Grade Ii ◽  
Health Organization ◽  
Aggressive Clinical Course ◽  
High Degree ◽  
The Brain

AbstractChordoid meningiomas (CMs) are a rare subgroup of tumors, accounting for ∼ 0.5% of all meningiomas. Chordoid meningioma tumors correspond to World Health Organization (WHO) Grade II lesions and behave aggressively, with an increased likelihood of recurrence. There are few genetic studies about CMs, but we understand that there is deletion at many chromosomal loci. Histologically, CMs are characterized by strands and cords of meningothelial cells arranged in a mucinous stroma. Morphologically, it can mimic other chondroid and myxoid tumors within the brain and its vicinity, thus posing a diagnostic challenge. Chordoid meningiomas have an aggressive clinical course and a propensity to recur compared with classical meningiomas. The goal of the treatment is surgery, with total resection of the tumor; however, due to its high degree of recurrence, radiotherapy is often necessary as an adjuvant treatment.

scholarly journals EXTENSIVELY DISSEMINATED CYSTICERCOSIS – CASE REPORT AND REVIEW OF LITERATURE

2020 ◽  
pp. 68-69
Author(s):  
Navdeep Kaur ◽  
Narinder Kaur ◽  
Harvinder Singh Chhabra ◽  
Ravinder Kaur
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Clinical Manifestations ◽  
Brain Parenchyma ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Subcutaneous Nodules ◽  
The Central Nervous System ◽  
High Index Of Suspicion

Cysticercosis is a known disease of the developing world and accounts for the majority of epilepsy cases in these nations. The disseminated form represents a rare presentation of the disease with neurocysticercosis being the most common. Patients may present with neurological complaints of seizures only with no clinical manifestations of muscular pseudohypertrophy or palpable subcutaneous nodules usually found in disseminated form falsely localizing disease to the central nervous system. This case report highlights the fact that despite its rarity a high index of suspicion for disseminated form should be kept in mind in endemic areas and warrants routine screening of all patients for multi-organ involvement who present with multiple lesions in brain parenchyma.

scholarly journals Intracranial Inflammatory Pseudotumor: A Case Report

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Manizhe Ataee Kachuei
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Inflammatory Pseudotumor ◽  
Brain Parenchyma ◽  
The Central Nervous System

: Primary inflammatory pseudotumor of the central nervous system is extremely rare. These lesions may be intra-axial, extra-axial, or a mix of them. We report a case of intracranial inflammatory pseudotumor involving both brain parenchyma and dura.

scholarly journals Meningeal Carcinomatosis for Prostate Adenocarcinoma Mimicking Chronic Subdural Hematoma: Case Report and Literature Review

2021 ◽  
Author(s):  
Tiago Silva Holanda Ferreira ◽  
Gilnard Caminha de Menezes Aguiar ◽  
Daniel Gurgel Fernandes Távora ◽  
Lucas Alverne Freitas de Albuquerque ◽  
Stélio da Conceição Araújo Filho
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Specific Antigen ◽  
Chronic Subdural Hematoma ◽  
Radical Resection ◽  
Prostate Adenocarcinoma ◽  
Meningeal Carcinomatosis ◽  
Motor Deficits ◽  
Friable Material ◽  
The Central Nervous System

Abstract Introduction Cerebral metastases are the most common cancer of the central nervous system (CNS). Meningeal infiltration by neoplasms that did not originate in the CNS is a rare fact that is present in 0.02% of the autopsies.Epidemiologically, the radiological presentation mimicking a subdural hematoma is even more uncommon. We report a case of meningeal carcinomatosis by an adenocarcinoma of the prostate mimicking a chronic subdural hematoma. Case Report A 60-year-old male patient was diagnosed with prostate cancer in 2011. He underwent radical resection of the prostate, as well as adjuvant hormonal therapy and chemotherapy.Five years later, the patient presented peripheral facial paralysis that evolved with vomiting and mental confusion. Tomography and magnetic resonance imaging scans confirmed the subdural collection.At surgery, the dura was infiltrated by friable material of difficult hemostasis. The anatomicopathological examination showed atypical epithelial cells. The immunohistochemistry was positive for prostate-specific antigen (PSA) and other key markers, and it was conclusive for meningeal carcinomatosis by a prostate adenocarcinoma. Discussion Meningeal carcinomatosis presents clinically with headache, motor deficits, vomiting, changes in consciousness and seizures.The two most discussed mechanisms of neoplastic infiltration are the hematogenous route and retrograde drainage by the vertebral venous plexus. Conclusion Variable clinical presentations may occur in dural metastases; however, the radiological presentation as subdural hematoma is rare. There are few descriptions of cases like this one in the literature.To support the diagnosis, the previous medical history is as important as the complementary exams and the radiological findings, because the symptoms are common at the neurological emergency. To our knowledge, this is the first report of a prostate neoplasm mimicking chronic subdural hematoma in Brazil.

MM-340: Plasma Cell Neoplasm in the Central Nervous System: A Case Report

2021 ◽  
Vol 21 ◽  
pp. S437-S438
Author(s):  
Carine Ribeiro Franzon ◽  
Andressa Oliveira Martin Wagner ◽  
Annelise Correa Wengerkievicz Lopes ◽  
Douglas Gebauer Bona ◽  
Talita Bertazzo Schmitz
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Plasma Cell ◽  
Plasma Cell Neoplasm ◽  
System A ◽  
Cell Neoplasm ◽  
The Central Nervous System

scholarly journals Lymphocytic primary angiitis of the central nervous system with fan-shaped linear enhancement converging to the lateral ventricles: a case report

2014 ◽  
Vol 54 (9) ◽  
pp. 709-714
Author(s):  
Taro Okunomiya ◽  
Takashi Kageyama ◽  
Kanta Tanaka ◽  
Daisuke Kambe ◽  
Akiyo Shinde ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Lateral Ventricles ◽  
Primary Angiitis ◽  
The Central Nervous System

Lyme Disease: Acute Focal Meningoencephalitis in a Child

PEDIATRICS ◽  
1988 ◽  
Vol 82 (6) ◽  
pp. 931-934
Author(s):  
HENRY M. FEDER ◽  
EDWIN L. ZALNERAITIS ◽  
LOUIS REIK
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Lyme Disease ◽  
Signs And Symptoms ◽  
Brain Parenchyma ◽  
Tick Bite ◽  
System Involvement ◽  
History Of ◽  
Csf Pleocytosis ◽  
The Brain

Nervous system involvement in Lyme disease was originally described as meningitis, cranial neuritis, and radiculoneuritis,1-3 but Lyme disease can also involve the brain parenchyma. We describe a child whose first manifestation of Lyme disease was an acute, focal meningoencephalitis with signs and symptoms such as fever, headache, slurred speech, hemiparesis, seizure, and CSF pleocytosis. CASE REPORT A 7-year-old boy was hospitalized Aug 27, 1985, because of hemiparesis. Six weeks prior to admission he had vacationed at Old Lyme, CT. There was no history of rash or tick bite. He had been well until eight hours prior to admission when fever and headache developed.

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