Summary
Classically meningiomas present and evolve with a progressive course. Meningiomas manifest themselves mainly in middle and old age when the incidence of strokes is higher. The authors report three instances of meningioma with acute haemorrhagic onset. The clinical picture of our cases consisted of subarachnoid bleeding, subdural heamatoma and intracerebral haemorrhage respectively. The diagnostic difficulties encountered when assessing these patients are discussed. The current literature regarding meningioma associated with haemorrhage is reviewed. One of our cases seems to be the fisrt reported case of subarachnoid haemorrhage originating from a meningioma of the petrous bone.
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References
Askenasy HM, Behoram AD (1960) Subarachnoid hemorrhage in meningiomas of lateral ventricle. Neurology (Minneap) 10: 484–489
Baskinis N, Grotenhuis A, Wandt H (1984) Chronic subdural hematoma associated with an intracapsular meningioma. Case report and short review of the literature. J Neurosurg Sci 28: 17–23
Bilodeau B, Beraud R (1960) Hémorrhagie dans un méningiome. Can Med Assoc J 95: 682–684
Bingas B, Meese M (1966) Subdurales Hämatom seltener Ätiologie (Fallmitteilung). Nervenarzt 37: 175–177
Bloomgarden GM, Byrne TN, Spencer DD, Heafner MD (1987) Meningioma associated with aneurysm and subarachnoid hemorrhage: case report and review of the literature. Neurosurgery 20: 24–26
Bundy JL, Glasauer FE, Sil R (1977) Rapid recurrence of meningioma causing intracerebral hemorrhage. Surg Neurol 8: 323–325
Cabezudo FMA, Areitio EC, Vaquero JC (1981) Hemorrhage associated with meningioma (letter). J Neurol Neurosurg Psychiatry 44: 456
Cusick JF, Bailey OT (1972) Association of ossified subdural hematomas and a meningioma. Case report. J Neurosurg 37: 731–734
El-Banhawy A, Walter W (1962) Meningiomas with acute onset. Acta Neurochir (Wien) 10: 194–206
Everett BA, Kusske JA, Pribram HW (1979) Anticoagulants and intracerebral hemorrhage from an unsuspected meningioma. Surg Neurol 11: 233–235
Flynn JT, Karpas CM (1971) Intracranial lesion with hemorrhage. Clinicopathologic conference. N Y State J Med 71: 1951–1959
Fukumitsu T, Yushida Y, Yamashita J (1973) Massive intracerebral hemorrhage due to parasagittal meningioma. Brain Nerve (Tokyo) 25: 911–914 (in Japanese)
Globus JH, Sapirstein M (1942) Massive hemorrhage into brain tumor: its significance and probable relationship to rapidly fatal termination and antecedent trauma. JAMA 120: 348–352
Goran A, Ciminello VJ, Fisher RG (1965) Hemorrhage into meningiomas. Arch Neurol 13: 65–69
Gruszkiewicz J, Doron Y, Gellei B, Peyser E (1969) Massive intracerebral bleeding due to supratentorial meningioma. Neurochirurgia (Stuttg) 12: 107–111
Hamer H (1979) Meningioma of the foramen magnum presenting as subarachnoid hemorrhage and cerebellar hematoma. Neurochirurgia (Stuttg) 22: 189–193
Helle TL, Conley FK (1980) Hemorrhage associated with meningioma: a case report and review of the literature. J Neurol Neurosurg Psychiatry 43: 725–729
Hung C, Chang W, Yao Y (1972) Post-traumatic intracranial meningioma. J Formosan Med Assoc 71: 214–219 (Cited in 17)
Jones NR, Blumberg PC (1989) Intracranial haemorrhage from meningiomas: a report of five cases. Br J Neurosurg 3: 691–698
Kohli CM, Crouch RL (1984) Meningioma with intracerebral hematoma. Neurosurgery 15: 237–240
Latchaw JP Jr, Dohn DF, Hahn JF, Von der Luft E (1981) Subarachnoid hemorrhage from an intracranial meningioma. Neurosurgery 9: 433–435
Lazaro RP, Messer HD, Brinker RA (1981) Intracranial hemorrhage associated with meningioma. Neurosurgery 8: 96–101
Locksley HB, Sahs AL, Sandler R (1966) Report of the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Subarachnoid hemorrhage unrelated to intracranial aneurysms and AV malformation, a study of associated diseases and prognosis. J Neurosurg 24: 1034–1056
Martinez-Lage JF, Poza M, Esteban JA, Sola J (1986) Subarachnoid hemorrhage in the presence of a cerebral arteriovenous malformation and an intraventricular oligodendroglioma: case report. Neurosurgery 19: 125–128
Modesti LM, Binet EF, Collins GH (1976) Meningiomas causing spontaneous intracranial hematomas. J Neurosurg 45: 437–441
Moore MT (1954) The fate of clinically unrecognised intracranial meningiomas. Neurology (Minneap) 4: 837–856
Nakao S, Sato S, Ban S, Inutsuka N, Yamamoto T, Ogata M (1977) Massive intracerebral hemorrhage caused by angioblastic meningioma. Surg Neurol 7: 245–248
Nassar SI, Correli JW (1986) Subarachnoid hemorrhage due to spinal cord tumors. Neurology (Minneap) 18: 87–94
Nishijima M, Ohishi H, Onuma T (1980) Intracerebral hemorrhage from meningioma. No Shinkei Geka 8: 995–998 (in Japanese)
Northfield DWC (1973) The surgery of the central nervous system. Blackwell, Oxford, pp 229–262
Ohaegebulan SC (1977) Sudden death from an asymptomatic sphenoid ridge meningioma. J Neurol 215: 291–294
Rosemberg GA, Hertz DA, Leeds N, Strully K (1975) Meckel's cave meningiomas with subarachnoid hemorrhage. Surg Neurol 3: 333–336
Sakai N, Ando T, Yamada H, Ikeda T (1981) Meningioma associated with subdural hematoma. Report of a case and review of 15 reported cases. Neurol Med Chir (Tokyo) 21: 329–336 (in Japanese)
Skultery FM (1986) Meningioma simulating ruptured aneurysm. Case report. J Neurosurg 28: 380–382
Smith VR, Stein PS, Mac Carthy CS (1975) Subarachnoid hemorrhage due to lateral ventricular meningiomas. Surg Neurol 4: 241–243
Taptas JN (1961) Intracranial meningioma in a four-month-old infant simulating subdural hematoma. J Neurosurg 18:120–121
Toledo E, Shalit MN, Segal R (1981) Spinal subdural hematoma associated with anticoagulant therapy in a patient with spinal meningioma. Neurosurgery 8: 600–603
Tsuchida T, Ito J, Sekigushi K, Honda H, Ueki K (1981) A case of deep sylvian meningioma with intracerebral hematoma. No Shinkei Geka 9: 395–400 (In Japanese)
Wakai S, Yamakawa K, Manaka S, Takakura K (1987) Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance. Neurosurgery 10: 437–444
Walsh JW, Winston KR, Smith T (1977) Meningioma with subdural hematoma. Surg Neurol 8: 293–295
Yasargil MG, So SC (1976) Cerebellopontine angle meningioma presenting as subarachnoid hemorrhage. Surg Neurol 6: 3–6
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Martínez-Lage, J.F., Poza, M., Martínez, M. et al. Meningiomas with haemorrhagic onset. Acta neurochir 110, 129–132 (1991). https://doi.org/10.1007/BF01400680
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DOI: https://doi.org/10.1007/BF01400680