Different subtypes meningiomas arising in the same region M. Neroni, R. Gazzeri, G. Ricci e S. Esposito U.O.D. Neurosurgery, San Giovanni – Addolorata.

Slides:

Advertisements

Similar presentations

Cerebral hematoma as an initial presentation of focal cerebral vasculitis Fábio Carvalho (1); Mariana Santos (2); Cristina Gonçalves (1); Teresa Palma.

Advertisements

Extramedullary hematopoiesis as a potential pitfall for meningeal mass in patients with myelofibrosis Ghimenton C1, Eccher A1, Brunelli M2, Gobbo S2,

CT Scan Reveals a mass that may or may not be enhanced with use of contrast medium. On CT, low-grade gliomas may be isodense with normal brain parenchyma.

Ray Peeples, MD. Case 1  50 y/o F with NF1  hx of meningioma debulking (2/10) and cervical neurofibroma removal (7/09)  MRI studies showed an enhancing.

Brain Neoplasm. Benign –May have aggressive tendencies –May transition to more aggressive lesion –Tends to be slower growing Primary malignant –Age distribution.

Skull & Brain Imaging Techniques Plain……..M.M. before MRI for

Cholesteral granuloma

Combine conference R3 陳斯逸 /VS 孫銘希 Jan General data ID: F Male 67 y/o Farmer.

SYSTEMIC HEMANGIOMATOSIS WITH ATYPICAL LIVER HEMANGIOMAS AND DIAPHRAGM INVOLVEMENT Serguey A. Khoruzhik, MD Computed Tomography, Grodno Regional Clinical.

First Department of Internal Medicine, General Hospital of Rhodes,

COLLOID CYST OF THE THIRD VENTRICLE: REPORT OF TWO CASES

Matthew Kilmurry, M.D. St. Mary’s General Hospital Grand River Hospital.

H RIAHI, Y AROUS, M LANDOLSI, S KOUKI, H BOUJEMAA, N BEN ABDALLAH

Surgery Surgery is the initial therapy for nearly all patients with brain tumors and can cure most benign tumors, including meningiomas Goal : to remove.

Brain Tumors Maria Rountree. Most common types of brain tumors The most common childhood tumors are: The most common childhood tumors are: 1. Astrocytoma.

Online module: Intracranial Mass Lesions. Couple of quick things As you can imagine, this is a HUGE topic that encompasses parts of Neurosurgery that.

Management of Meningiomas. DIAGNOSTIC TOOLS MRI –Dural tail, edema CT SCAN:CT SCAN –Hyperostosis, intratumoral calcifications ANGIOGRAPHY: –embolization.

Tinnitus in 44 y/o female Richard Lukose. Presents to family doctor A 44 y/o female Tinnitus in right ear for 1 month, worsening PMHx: obesity Medications:

CNS Neoplasm Dr. Raid Jastania, FRCPC Assistant Professor, Faculty of Medicine, Umm Alqura University Vice Dean, Faculty of Dentistry.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Wendy Smoker Affiliation: University of Iowa Health Care.

Pathophysiologic Results of Neurologic Oncologic Disorders Manifestations depend upon the tissues infiltrated and compressed by the neoplasm Pathophysiologic.

INTRAMEDULLARY SPINAL CORD TUMORS K. Liaropoulos, P. Spyropoulou, N. Papadakis 3rd Neurosurgery clinic, Athens Euroclinic.

Central nervous system block Neuropathology practical Dr Shaesta Naseem

Chondrosarcoma of the Pelvis by Maya E. Pring, Kristy L. Weber, K. Krishnan Unni, and Franklin H. Sim J Bone Joint Surg Am Volume 83(11): November.

PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD.

IRIA 67th Annual Conference

RARE CASE OF MYXOPAPILLARY EPENDYMOMA FROM MEDULLA.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Adam Fang Affiliation: - Leave Blank -

NTUH Neurosurgery Morning Meeting Case Discussion Date: 2015/04/21 Presented by PGY 何御彰.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Neuroradiology Learning File - © ACR Affiliation: ACR Learning File®

Brain Tumors Neurons or Glial cells?. Neurons Rarely, if ever responsible for tumors –Don’t reproduce.

Central nervous system block Neuropathology practical

Multiple Craniotomies in the Management of Multifocal and Multicentric Glioblastoma Raymond Sawaya, M.D.

Aggressive meningioma Robert M. Koffie Neurosurgery sub-intern July 19, 2012 Department of Neurosurgery Massachusetts General Hospital Harvard Medical.

Dorsum sellae solitary plasmacytoma revealed by neuronavigation-guided biopsy M. Neroni, G. Ricci, R. Gazzeri, e S. Esposito U.O.D. Neurosurgery, San Giovanni.

A.Bocchio A.Bocchio Regional Hospital Valle d’Aosta, Italy Pilocytic juvenile astrocytoma: a difficult diagnosis?

SUPRASELLAR PITUICYTOMA PRESENTING WITH SPONTANEOUS HEMORRHAGE Pedro S. Pinto 1, André Couto Carvalho 2, Bruno Moreira 1, Gustavo Melo-Rocha 2, Alfonso.

Case Report Shao-Ching Chao, Chiung-Chyi Shen, Department of Neurosurgery Taichung Veterans General Hospital.

©2011 MFMER | slide-1 AANP 2011 CASE #10 Mark Jentoft MD Nancy Kois MD Bernd Scheithauer MD.

Unusual Giant Spinal Teratoma In An Infant: Case Report Yueh-hsun Lu Feng-chi Chang Wan-yuo Guo Cheng-yen Chang Taipei Veterans General Hospital, Taiwan.

EPIDURAL CAVERNOUS HEMANGIOMA OF THE SPINAL CORD. CASE REPORT AND REVIEW OF THE LITERATURE. Petrosyan T, Zisakis A, Markogiannakis G, Hadjigeorgiou GF,

Supraclavicular metastasis from urothelial bladder carcinoma: A case report S. Farmahan, T. Mirza, P. Ameerally Oral Maxillofacial Department, Northampton.

Typical & Atypical Neuroimaging of Pediatric Medulloblastoma

Primary sarcomas of the spine. A 5-year retrospective analysis. Hadjigeorgiou GF, Zisakis A, Markogiannakis G, Petrosyan T, Mylonakis I, Panteli A, Hadjigeorgiou.

MALIGNANT GLIOMAS Clinical presentation & Surgical Management

PRIMARY LIVER TUBERCULOSIS

Discussion & Conclusion Predictives of Meningioma Grading

Basile Pache, Antonia Digklia*, Nicolas Demartines, Maurice Matter.

Neurological Neoplasm FOM, KFMC

Department of Neurosurgery, Red Cross Hospital, Athens, Greece

Use Arial OR Constantia size 54

Renal Leiomyoma.

G. Rizzi, A. Berardi, V. Bozzini, M. Gladi, G. Merlicco

Posterior Fossa Meningiomas

Characteristic time courses for various neurologic disorders

2epart EXTRAPULMONARY SMALL CELL CANCER OF THE ESOPHAGUS INTRODUCTION

Case Study 2 Harry Kellermier.

Pediatric Neurosurgical Neuropathology

Dr Amit Gupta Associate Professor Dept of Surgery

SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

Chapter 14 Hepatic Tumors, Malignant 1

MRI Brain Evaluation of brain diseases Stroke

Fig year-old female with meningioma next to falx cerebri. A

Surgical Management of Brain Metastases

Benign vs malignant collapse

Erdheim–Chester disease.

Rarer Bone Tumors Thomas F. DeLaney, M.D. Co-Director: Sarcoma Program

Chordoid Meningioma A Deceptive Nasal Mass.

Fig. 1. Brain imaging before surgery

52-year-old African-American man with seizure disorder.

Presentation transcript:

Different subtypes meningiomas arising in the same region M. Neroni, R. Gazzeri, G. Ricci e S. Esposito U.O.D. Neurosurgery, San Giovanni – Addolorata Hospital Rome M. Neroni, R. Gazzeri, G. Ricci e S. Esposito U.O.D. Neurosurgery, San Giovanni – Addolorata Hospital Rome

Introduction - Occurrence of multiple primary brain tumors is uncommon -Chordoid meningioma is a rare isthological entity - The association of two different subtypes meningiomas in the same region have not yet been reported Introduction - Occurrence of multiple primary brain tumors is uncommon -Chordoid meningioma is a rare isthological entity - The association of two different subtypes meningiomas in the same region have not yet been reported

Case Report - A 64 y.o. cauc. woman presenting with headaches since 5 months -Referred to our E.R. after acute onset of seizure - No neurological deficit were disclosed Case Report - A 64 y.o. cauc. woman presenting with headaches since 5 months -Referred to our E.R. after acute onset of seizure - No neurological deficit were disclosed

Case Report - Emergency CT showed a huge pterional hyperdense lesion - MR revealed two distinct lesions showing a different contrast enhancement Case Report - Emergency CT showed a huge pterional hyperdense lesion - MR revealed two distinct lesions showing a different contrast enhancement

Widened Pterional approach - Removing the anterior firm and larger tumor (intra-op histo exam revealed a chordoma) WHO II - Bone and muscle were infiltrated (Simpson I) - Cleavage between the lesions - Posterior mass was easily removed (intra-op histo exam revealed a transitional meningioma) WHO I Widened Pterional approach - Removing the anterior firm and larger tumor (intra-op histo exam revealed a chordoma) WHO II - Bone and muscle were infiltrated (Simpson I) - Cleavage between the lesions - Posterior mass was easily removed (intra-op histo exam revealed a transitional meningioma) WHO I

Histology - Anterior tumor: Chordoid Meningioma (Grade II WHO ) -Posterior mass: Transitional Meningioma (Grade I WHO ) Histology - Anterior tumor: Chordoid Meningioma (Grade II WHO ) -Posterior mass: Transitional Meningioma (Grade I WHO )

Conclusion - At nine months F.U. patient is still free disease - No radiotherapy was delivered -Control MR showed no recurrence Conclusion - At nine months F.U. patient is still free disease - No radiotherapy was delivered -Control MR showed no recurrence