Document Detail

Falcotentorial meningioma accompanied by temporal lobe hematoma.
MedLine Citation:
PMID:  11720166     Owner:  NLM     Status:  MEDLINE    
We report a case of a falcotentorial meningioma accompanied by hematoma in the temporal lobe. A healthy 51 year-old-female with no history of hypertension presented with sudden onset of consciousness disturbance and right hemiparesis. Computed tomography revealed a hematoma 5.5 cm in diameter surrounded by thick edematous brain in the left temporal lobe and a tumor 3.5 cm in diameter in the pineal region. Bilateral carotid angiography detected occlusion of the Galenic vein and straight sinus. No causative abnormality of hemorrhage was apparent. However, the left basal vein of Rosenthal had disappeared, and anastomotic venous channels could be observed in the medial left temporal lobe, contiguous to the hematoma. Emergency craniotomy failed to detect any abnormality which could cause hemorrhage in the brain parenchyma surrounding the hematoma. Subtotal removal of the tumor, histologically diagnosed as fibrous meningioma, was achieved three months later employing an occipital transtentorial approach. Venous congestion caused by compression due to the tumor was considered to be one of possible causes of the hemorrhage.
S Ohba; K Kurisu; K Arita; K Sugiyama; T Inoue; H Satoh; S Hibino
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hiroshima journal of medical sciences     Volume:  50     ISSN:  0018-2052     ISO Abbreviation:  Hiroshima J. Med. Sci.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-11-26     Completed Date:  2001-12-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421060     Medline TA:  Hiroshima J Med Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  75-7     Citation Subset:  IM    
Department of Neurosurgery, Hiroshima University School of Medicine, Japan.
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MeSH Terms
Brain / radiography
Cerebral Hemorrhage, Traumatic / complications*,  radiography,  surgery
Magnetic Resonance Imaging / methods
Meningeal Neoplasms / complications*,  radiography,  surgery
Meningioma / complications*,  radiography,  surgery
Middle Aged
Temporal Lobe / radiography
Tomography, X-Ray Computed / methods
Treatment Outcome

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