Abstract
Chordoid meningioma is a relatively rare variant that is often associated with peritumoral lymphoplasmacellular infiltration causing Castleman syndrome (CS). We present a 44-year-old woman with chordoid meningioma not associated with CS. The patient presented with epilepsy and right hemiparesis (Todd's palsy) on admission. The radiological findings revealed an extraaxial mass lesion in the premotor cortex. They were compatible with a preoperative diagnosis of meningioma. No physical abnormalities related to CS were detected. A left frontal craniotomy was performed. The tumor surface was gelatinous, and it was totally resected with the attached dura mater (Simpson grade I). The patient had an uneventful recovery, and her seizures subsided. The pathological findings of the specimens revealed nests and cords of spindle and epithelioid cells with abundant myxoid matrix, mimicking the features of chordoma. On the basis of radiological, immunohistochemical, and electron microscopic findings, chordoid meningioma was verified, and a review of the literature was performed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kepes JJ, Chen WY, Connors MH, et al (1988) “Chordoid” meningeal tumors in young individuals with peritumoral lymphoplasmacellular infiltrates causing systemic manifestations of the Castleman syndrome. A report of seven cases. Cancer 62:391–406
Glasier CM, Husain MM, Chadduck W, et al (1993) Meningiomas in children: MR and histopathologic findings. AJNR 14:237–241
Zuppan CW, Liwnicz BH, Weeks DA (1994) Meningioma with chordoid features. Ultrastruct Pathol 18:29–32
Kumar S, Tatke M, Husain Z (1996) Chordoid meningioma associated with chronic subdural hematoma. Indian Pediatr 33:783–785
Civit T, Baylac F, Taillandier L, et al (1997) Les ménigiomes chordoïdes: aspects cliniques, neuroradiologiques et anatomopathologigues. A propos d' un nouveau cas et revue de la litérature. Neurochirugie 43:308–313
Kobata H, Kondo A, Iwasaki K, et al (1998) Chordoid meningioma in a child. Case report. J Neurosurg 88:319–323
Kajiwara Y, Kodama Y, Hotta T, et al (1999) A case of chordoid meningioma. No Shinkei Geka 27:947–951
Couce ME, Aker FV, Scheithauer BW (2000) Chordoid meningioma: a clinicopathologic study of 42 cases. Am J Surg Pathol 24:899–905
Bruner JM, Tien RD, Enterline DS (1998) Tumors of the meninges and related tissues. In: Bigner DD, McLendon RE, Bruner JM (eds) Russel and Rubinstein's pathology of tumours of the nervous system. Arnold, London, pp 91–92
Radley MG, di Sant Agnese PA, Eskin TA, et al (1989) Epithelial differentiation in meningiomas. An immunohistochemical, histochemical, and ultrascrutural study with review of the literature. Am J Clin Pathol 92:266–272
Kimura Y, Matsumae M, Tsutsumi Y (1998) Pericellular deposition of basement membrane material in myxoid meningioma: immunohistochemical evidence for unbalanced production of type IV collagen and laminin. Pathol Int 48:53–57
Louis DN, Scheithauer BW, Budka H, et al (2000) Meningeal tumours In: Kliehues P, Cavenee WK (eds) Pathology and genetics of tumours of the nervous system. International Agency for Research on Cancer, Lyon, pp 175–195
Author information
Authors and Affiliations
Corresponding author
Additional information
This case was reported at the 2nd International Symposium of Brain Tumor Pathology (May 12–13, 2000, Nagoya, Japan)
Rights and permissions
About this article
Cite this article
Yano, H., Shinoda, J., Hara, A. et al. Chordoid meningioma. Brain Tumor Pathol 17, 153–157 (2000). https://doi.org/10.1007/BF02484287
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02484287