Simultaneous presentation of meningiomas with other intracranial tumours.
Fifteen patients with simultaneous presentation of meningiomas with other intracranial tumours are reviewed. The associated tumours included a brain metastasis in six cases, glioma in three, pituitary adenoma in two, craniopharyngioma in one,acoustic schwannoma in two and brain lymphoma in one. A correct preoperative radiological diagnosis was made in 12 patients; in three others the associated tumour was discovered at operation and by histological studies. A one-stage removal of both tumours through the same approach was performed in nine patients, whereas six others underwent two-stage operations with an interval of 1 - 13 months. The literature relating to meningiomas associated with other intracranial tumours is reviewed and the possible pathogenetic correlations are discussed. A diagnostic pitfall may occur for metastasis into a meningioma, glioma surrounding a meningioma and different suprasellar lesions. The surgical indication and management of meningiomas may be significantly influenced by the presence of another different intracranial tumour.
Maiuri
F
F
Department of Neurosurgery, University Federico II, Naples, Italy. frmaiuri@unina.it
Cappabianca
P
P
Iaconetta
G
G
Esposito
F
F
Messina
A
A
D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000556:secondary; D003397:Craniopharyngioma / Q000175:diagnosis; D005260:Female; D005910:Glioma / Q000175:diagnosis; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000175:diagnosis*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D009464:Neuroma, Acoustic / Q000175:diagnosis; D010911:Pituitary Neoplasms / Q000175:diagnosis; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed