Asian Journal of Neurosurgery

CASE REPORT
Year
: 2019  |  Volume : 14  |  Issue : 3  |  Page : 961--963

Apoplexy inside a giant medial sphenoid wing meningothelial (Grade I) meningioma: An extremely rare but a potentially dangerous complication


Sanjog Gajbhiye, Jaskaran Singh Gosal, Satyadeo Pandey, Kuntal Kanti Das 
 Department of Neurosurgery, SGPGI, Lucknow, Uttar Pradesh, India

Correspondence Address:
Kuntal Kanti Das
Department of Neurosurgery, SGPGI, Lucknow, Uttar Pradesh
India

Hemorrhage associated with meningiomas is extremely rare and most commonly occurs in convexity meningiomas of higher grade or the angioblastic variety. Moreover, bleeding associated with a meningioma usually occurs in the form of a subdural hematoma or subarachnoid hemorrhage. We report a case of giant left medial sphenoid wing meningioma with histopathological diagnosis of a meningothelial type with apoplexy. A 54-year-old female presented with clinical features suggestive of apoplexy. Her neuroimaging demonstrated a large left medial sphenoid wing meningioma with features suggestive of an intratumoral bleed with mass effect. Gross total excision of the tumor was done with the good postoperative outcome. The biopsy came out to be Grade I meningothelial meningioma. Apoplexy in meningiomas is extremely rare with a reported incidence of 0.5%–2.4%, especially in a nonconvexity meningioma with histopathological diagnosis of meningothelial variety. Early diagnosis and prompt surgical intervention are critical as meningiomas associated with apoplexy are associated with high morbidity.


How to cite this article:
Gajbhiye S, Gosal JS, Pandey S, Das KK. Apoplexy inside a giant medial sphenoid wing meningothelial (Grade I) meningioma: An extremely rare but a potentially dangerous complication.Asian J Neurosurg 2019;14:961-963


How to cite this URL:
Gajbhiye S, Gosal JS, Pandey S, Das KK. Apoplexy inside a giant medial sphenoid wing meningothelial (Grade I) meningioma: An extremely rare but a potentially dangerous complication. Asian J Neurosurg [serial online] 2019 [cited 2019 Sep 22 ];14:961-963
Available from: http://www.asianjns.org/article.asp?issn=1793-5482;year=2019;volume=14;issue=3;spage=961;epage=963;aulast=Gajbhiye;type=0