A huge frontal meningioma associated with intraoperative massive bleeding and severe brain swelling – case report

A 58 year old female presented with progressive memory disturbance and personality change. Magnetic resonance (MR) imaging disclosed a huge mass lesion accompanied by prominent oedema in the right frontal lobe. Cerebral angiogram demonstrated a vascular -rich tumour and a major drainer through diplo...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2001-05, Vol.8 (4), p.54-58
Main Authors: Ohigashi, Yohji, Tanabe, Akihiko
Format: Article
Language:English
Subjects:
Blood Loss, Surgical
Brain Edema - drug therapy
Brain Edema - etiology
Cerebral Hemorrhage - etiology
Craniotomy - adverse effects
Dura Mater - surgery
Encephalocele - prevention & control
Female
Frontal Bone - blood supply
Frontal Lobe - pathology
Frontal Lobe - surgery
Hemostasis, Surgical
Humans
Intracranial Hypertension - drug therapy
Intracranial Hypertension - etiology
Mannitol - therapeutic use
Memory Disorders - etiology
Meningeal Neoplasms - complications
Meningeal Neoplasms - pathology
Meningeal Neoplasms - surgery
Meningioma - complications
Meningioma - pathology
Meningioma - surgery
meningioma, haemorrhage, brain swelling, diploic vein
Middle Aged
Personality Disorders - etiology
Thiamylal - therapeutic use
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Summary:A 58 year old female presented with progressive memory disturbance and personality change. Magnetic resonance (MR) imaging disclosed a huge mass lesion accompanied by prominent oedema in the right frontal lobe. Cerebral angiogram demonstrated a vascular -rich tumour and a major drainer through diploic vein. A right frontotemporal craniotomy was performed. We encountered massive bleeding from diploic vein and dura mater immediately at the craniotomy. We were also faced with severe brain swelling at the dural incision. The tumour was solid, highly vascularised, and fairly well demarcated. We performed total removal of the tumour as quickly as possible in order to reduce the intracranial hypertension and avoid the impending brain herniation. The patient had an uneventful recovery and was asymptomatic at10 months follow-up.
ISSN:0967-5868
1532-2653
DOI:10.1054/jocn.2001.0878