Meningioma cysts

Curtis Worthington, Jean Louis Caron, Denis Melanson, Richard Leblanc

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

We studied six cases of intracranial meningioma with cyst formation. Manifestations included focal neurologic signs (four cases), seizures (three cases), headache (three cases), and personality changes (two cases). CT revealed a cystic enhancing supratentorial lesion in five cases. Angiographic changes of meningioma were observed in only three cases, and correct preoperative diagnosis was made in only half the cases so studied. Histologically, all lesions were syncytial meningiomas. Cyst fluid was always xanthochromic, acellular, and highly proteinaceous. The variety of anatomic configurations suggests several pathophysiologic mechanisms in formation of the cysts that are commonly misdiagnosed preoperatively. Tissue analysis is needed for all cystic, enhancing lesions of the brain.

Original languageEnglish (US)
Pages (from-to)1720-1724
Number of pages5
JournalNeurology
Volume35
Issue number12
DOIs
StatePublished - Dec 1985
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology

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