TY - JOUR
T1 - Adjacent Meningioma and Astrocytoma in the Brain
AU - Suzuki, Shinsuke
AU - Katakura, Ryuichi
AU - Kato, Seiya
AU - Suzuki, Jiro
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1987
Y1 - 1987
N2 - A case of coincidental meningioma and astrocytoma is described. The patient, a 75-year-old female, suffered from motor aphasia, right hemiparesis, vomiting, and urinary incontinence for about 1 month prior to hospitalization. Plain computed tomography scan demonstrated a round iso-or high density area in the medial frontal lesion and a large low density area in the left frontal lobe adjacent to the medial round tumor. After injection of contrast medium, the medial round tumor was enhanced homogeneously, and the left frontal low density area was enhanced irregularly, with low density in its central portion. Bilateral frontal osteoplastic craniotomy was performed, followed by left frontal lobectomy and extirpation of the falx meningioma. Histologically the two tumors were diagnosed as a transitional meningioma and an anaplastic astrocytoma. After surgery, post-operative irradiation combined with chemotherapy was administered. Three months after the operation, the patient was discharged with slight hemiparesis and motor aphasia. The authors have found 38 cases in the literature of meningioma and glioma combined in the same patient, but can-not find any case in which both meningioma and glioma were diagnosed preoperatively and were surgically treated successfully.
AB - A case of coincidental meningioma and astrocytoma is described. The patient, a 75-year-old female, suffered from motor aphasia, right hemiparesis, vomiting, and urinary incontinence for about 1 month prior to hospitalization. Plain computed tomography scan demonstrated a round iso-or high density area in the medial frontal lesion and a large low density area in the left frontal lobe adjacent to the medial round tumor. After injection of contrast medium, the medial round tumor was enhanced homogeneously, and the left frontal low density area was enhanced irregularly, with low density in its central portion. Bilateral frontal osteoplastic craniotomy was performed, followed by left frontal lobectomy and extirpation of the falx meningioma. Histologically the two tumors were diagnosed as a transitional meningioma and an anaplastic astrocytoma. After surgery, post-operative irradiation combined with chemotherapy was administered. Three months after the operation, the patient was discharged with slight hemiparesis and motor aphasia. The authors have found 38 cases in the literature of meningioma and glioma combined in the same patient, but can-not find any case in which both meningioma and glioma were diagnosed preoperatively and were surgically treated successfully.
KW - astrocytoma
KW - computed tomography
KW - meningioma
KW - multiple tumors
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U2 - 10.2176/nmc.27.325
DO - 10.2176/nmc.27.325
M3 - Article
C2 - 2446168
AN - SCOPUS:0023319975
VL - 27
SP - 325
EP - 328
JO - Neurologia Medico-Chirurgica
JF - Neurologia Medico-Chirurgica
SN - 0470-8105
IS - 4
ER -