[Intracranial meningiomas revealed by hemorrhage. Report of three cases and literature review].
Three cases of meningioma revealed by hemorrage are reported. The first patient, 65 presented with a temporal hematoma associated with intraventricular contamination. The diagnosis of a tumoral origin of the hemorrhage was made only few weeks later when the total hematoma resorption was ended. The second patient, 49 presented with a sudden right hemiplegia. CTscan and MRI revealed a left frontal tumor surrounded by hematoma. The third patient, 46, presented with a transient aphasia and superior limb dysesthesia. CT scan showed a temporal hematoma; a carotid angiography revealed a typical meningioma blush. A review of the literature collected 54 additional cases of meningioma associated with hemorrage. Clinical findings and mechanisms are discussed.
Roux-Vaillard
S
S
Service de Neurochirurgie, CHU d'Angers, 49033 Angers Cedex 01, France.
Mercier
P
P
Fournier
H D
HD
Hayek
G
G
Menei
P
P
Guy
G
G
D000368:Aged; D001037:Aphasia / Q000209:etiology; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000209:etiology*; D004401:Dysarthria / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged