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Olfactory Groove Meningiomas: Acute Presentation and Potential

Pitfalls in Management and Functional Restoration

  • Conference paper
Trends in Reconstructive Neurosurgery

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 124))

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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.

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References

  1. 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

    Article  CAS  PubMed  Google Scholar 

  2. Barua KK et al (2000) Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: case report. Surg Neurol 54(3):254–259

    Article  CAS  PubMed  Google Scholar 

  3. Hayashi K et al (2003) A case of atypical meningioma associated with acute deterioration and cerebral herniation. No Shinkei Geka 31(12):1309–1313

    PubMed  Google Scholar 

  4. 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Kim DG et al (2000) Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage. Acta Neurochir (Wien) 142(2):165–168

    Article  CAS  Google Scholar 

  6. Kohli CM, Crouch RL (1984) Meningioma with intracerebral hematoma. Neurosurgery 15(2):237–240

    Article  CAS  PubMed  Google Scholar 

  7. 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

    Article  CAS  Google Scholar 

  8. Martinez-Lage JF et al (1991) Meningiomas with haemorrhagic onset. Acta Neurochir (Wien) 110(3–4):129–132

    Article  CAS  Google Scholar 

  9. Modesti LM, Binet EF, Collins GH (1976) Meningiomas causing spontaneous intracranial hematomas. J Neurosurg 45(4):437–441

    Article  CAS  PubMed  Google Scholar 

  10. Niiro M et al (2003) Clinico-pathological study of meningiomas with haemorrhagic onset. Acta Neurochir (Wien) 145(9):767–772

    Article  CAS  Google Scholar 

  11. Renowden SA, Hourihan MD (1992) Case report: acute subdural haematoma--an unusual presentation of a meningioma. Clin Radiol 45(5):351–352

    Article  CAS  PubMed  Google Scholar 

  12. Sakowitz OW et al (2005) Acute haemorrhage into a microcystic meningioma leading to cerebral herniation. Br J Neurosurg 19(3):260–264

    Article  CAS  PubMed  Google Scholar 

  13. Wakai S et al (1982) Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance. Neurosurgery 10(4):437–444

    Article  CAS  PubMed  Google Scholar 

  14. Misra M, Rath S, Mohanty AB (1989) Anton syndrome and cortical blindness due to bilateral occipital infarction. Indian J Ophthalmol 37(4):196

    CAS  PubMed  Google Scholar 

  15. 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

    Article  CAS  Google Scholar 

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Correspondence to Alessandro Olivi MD .

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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

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  • 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

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