72 year-old man with new seizure while dancing.
Metastasis of an extracranial malignant neoplasm to a meningioma is a rare event.We report a case of a 72-year-old man who presented abruptly with a grand mal seizure. Neuroradiological examination revealed an extraaxial lesion located in the posterior right frontal convexity with poorly defined boundaries. Histological and immunohistochemical examination showed that the lesion was a meningothelial meningioma harboring metastatic renal cell carcinoma.The MRI could be indicative but not specific of this type of lesion.Some cases of intracranial meningiomas containing metastatic carcinomas have been published, but to our knowledge only five cases of renal cell carcinoma metastasizing to a meningioma have been reported. Possible explanations for this type of "tumor in tumor" lesion are reviewed.
Gutiérrez Morales
Julio César
JC
Department of Neurosurgery, Hospital Universitario Central de Asturias, Oviedo, Spain.
Gutiérrez Morales
Sandra Eugenia
SE
Astudillo González
Aurora
A
D000368:Aged; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000556:secondary; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D003615:Dancing; D006801:Humans; D007150:Immunohistochemistry; D007680:Kidney Neoplasms / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D009362:Neoplasm Metastasis; D009378:Neoplasms, Multiple Primary; D012640:Seizures / Q000209:etiology*