Anaplastic meningioma: case report

Arquivos de Neuro-Psiquiatria

Asdrubal Falavigna¹  José Augusto Nasser Dos Santos¹  Leila Chimelli²  Fernando Antonio Patriani Ferraz¹  Antonio De Padua Furquim Bonatelli¹ 

[1],Federal University of São Paulo Escola Paulista de Medicina São Paulo SP ,Brazil

关键词: papillary meningioma;    pathology;    radiotherapy;    chemotherapy;    meningeoma papilar;    patologia;    radioterapia;    quimioterapia;   

DOI  :  10.1590/S0004-282X2001000600019

来源: SciELO

【 摘 要 】

Intracranial meningiomas continue to challenge our best clinical efforts to eliminate them once discovered and deemed appropriate for treatment. Malignant meningiomas constitute 10% to 15% of all meningiomas and limited information exists regarding adjuvant treatment. The external whole brain irradiation is recommended. Traditional chemotherapy has proven ineffective; thus, new chemotherapeutic agents and new methods of delivery should be developed. Immunotherapy may be considered for patients with malignant meningiomas when all others previous treatment have failed. We report a case of anaplastic papillary meningioma. A 67-year-old man presented with partial complex seizures, headache and aggressiveness. A computerized tomography and magnetic resonance image demonstrated a large left temporo-occipital mass with difuse contrast enhancement and extensive surrounding edema. A left temporo-occipital flap was performed. The tumor and the infiltrated dura were radically removed. Postoperatively, the patient remained neurologically intact. The treatment was complemented by external whole brain radiation.

【 授权许可】

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