Abstract
Meningiomas are typically benign, slow-growing lesions that present after an insidious onset of symptoms related to mass effect. The acute presentation of a patient who has suffered a transtentorial herniation event due to a meningioma is rare. There are only few publications describing such a presentation in the absence of hemorrhage [1]. In this case report, a patient with an olfactory groove meningioma presenting with signs and symptoms of transtentorial herniation in the absence of tumor-associated hemorrhage is discussed. This is a unique presentation of such a lesion. The patient developed Anton’s syndrome—binocular visual loss with blindness denial. Management considerations for patients with meningiomas that present with acute deterioration are discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
McDowell D, Harper CG (1991) Central tumour necrosis: a cause for the acute presentation of benign meningiomas. Aust N Z J Surg 61(7):553–556
Barua KK et al (2000) Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: case report. Surg Neurol 54(3):254–259
Hayashi K et al (2003) A case of atypical meningioma associated with acute deterioration and cerebral herniation. No Shinkei Geka 31(12):1309–1313
Helle TL, Conley FK (1980) Haemorrhage associated with meningioma: a case report and review of the literature. J Neurol Neurosurg Psychiatry 43(8):725–729
Kim DG et al (2000) Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage. Acta Neurochir (Wien) 142(2):165–168
Kohli CM, Crouch RL (1984) Meningioma with intracerebral hematoma. Neurosurgery 15(2):237–240
Lefranc F et al (2001) Intracranial meningiomas revealed by non-traumatic subdural haematomas: a series of four cases. Acta Neurochir (Wien) 143(10):977–982; discussion 982–983
Martinez-Lage JF et al (1991) Meningiomas with haemorrhagic onset. Acta Neurochir (Wien) 110(3–4):129–132
Modesti LM, Binet EF, Collins GH (1976) Meningiomas causing spontaneous intracranial hematomas. J Neurosurg 45(4):437–441
Niiro M et al (2003) Clinico-pathological study of meningiomas with haemorrhagic onset. Acta Neurochir (Wien) 145(9):767–772
Renowden SA, Hourihan MD (1992) Case report: acute subdural haematoma--an unusual presentation of a meningioma. Clin Radiol 45(5):351–352
Sakowitz OW et al (2005) Acute haemorrhage into a microcystic meningioma leading to cerebral herniation. Br J Neurosurg 19(3):260–264
Wakai S et al (1982) Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance. Neurosurgery 10(4):437–444
Misra M, Rath S, Mohanty AB (1989) Anton syndrome and cortical blindness due to bilateral occipital infarction. Indian J Ophthalmol 37(4):196
Wessling H et al (2006) Anton’s syndrome due to a giant anterior fossa meningioma. The problem of routine use of advanced diagnostic imaging in psychiatric care. Acta Neurochir (Wien) 148(6):673–675; discussion 675
Conflict of Interest Statement
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this paper
Cite this paper
Quiñones-Hinojosa, A., Raza, S.M., Lazaridis, C., Olivi, A. (2017). Olfactory Groove Meningiomas: Acute Presentation and Potential. In: Visocchi, M., Mehdorn, H.M., Katayama, Y., von Wild, K.R.H. (eds) Trends in Reconstructive Neurosurgery. Acta Neurochirurgica Supplement, vol 124. Springer, Cham. https://doi.org/10.1007/978-3-319-39546-3_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-39546-3_24
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-39545-6
Online ISBN: 978-3-319-39546-3
eBook Packages: MedicineMedicine (R0)