Intraventricular meningioma with fatal haemorrhage: clinical and autopsy findings.
Only a few cases of intraventricular meningioma have been reported and the association with intracranial haemorrhage is even rarer. More than ever, autopsy findings are scarce. Here, we report a case of primary intraventricular meningioma with intraventricular haemorrhage in a 57-year-old woman. A CT scan of the head initially suggested a malignant brain tumour as the lesion was quite inhomogeneous with hyper- and hypodense sections accompanied by fresh haemorrhage. At autopsy, the tumour was histologically diagnosed as a fibroblastic meningioma WHO-Grade I. The source of haemorrhage was most likely the tumour itself as it contained focally rather large angiomatous and additionally small cavernous vessels and acute haemorrhage in various sections. The assumptive adherence of the tumour to the choroid plexus was probably disrupted by the haematoma.
Romeike
Bernd F M
BF
Abteilung für Neuropathologie, Friedrich-Schiller-Universität, D-07747 Jena, Germany. bernd.romeike@med.uni-jena.de
Joellenbeck
Boris
B
Skalej
Martin
M
Scherlach
Cordula
C
Kirches
Elmar
E
Mawrin
Christian
C
D001921:Brain / Q000473:pathology; D001929:Brain Edema / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000473:pathology*; D002551:Cerebral Ventricle Neoplasms / Q000098:blood supply / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D006849:Hydrocephalus / Q000473:pathology; D020547:Lateral Ventricles / Q000098:blood supply / Q000473:pathology; D008577:Meningeal Neoplasms / Q000098:blood supply / Q000473:pathology*; D008579:Meningioma / Q000098:blood supply / Q000473:pathology*; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000473:pathology; D014057:Tomography, X-Ray Computed