[Deep sylvian meningioma without dural attachment: a case report].
A 34-year-old female presented with an 8-year history of temporal lobe epilepsy. Magnetic resonance imaging showed a multilobular, well-demarcated and homogeneous tumorous lesion of 5 cm in diameter deep in the left sylvian fissure. Intraoperative findings revealed that the tumor was mainly in the left insular region without dural attachment and strongly adhered to the left middle cerebral artery and its perforators. The histopathological diagnosis was transitional meningioma without malignancy. There are few reported cases of deep sylvian meningioma without dural attachment. We review the literature and summarize the clinicopathological characteristics of this condition.
Department of Neurosurgery, National Hospital Organization Yokohama Medical Center, Yokohama-city, Kanagawa, Japan.
Kosuke
K
Miyahara
Teruo
T
Ichikawa
Saburo
S
Yagishita
Shigeo
S
Mukaihara
Tomu
T
Okada
Shogo
S
Kaku
Shin
S
Tanino
Yasuhiro
Y
Uriu
Kazuhiko
K
Fujitsu
Hitoshi
H
Niino
D000328:Adult; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000473:pathology / Q000601:surgery*; D008579:Meningioma / Q000473:pathology / Q000601:surgery*