Abstract
Intracranial meningiomas continue to challenge our best clinical efforts to eliminate them once discovered and deemed appropriate for treatment. Malignant meningiomas constitute 10% to 15% of all meningiomas and limited information exists regarding adjuvant treatment. The external whole brain irradiation is recommended. Traditional chemotherapy has proven ineffective; thus, new chemotherapeutic agents and new methods of delivery should be developed. Immunotherapy may be considered for patients with malignant meningiomas when all others previous treatment have failed. We report a rare case of Psammomatous anaplastic meningioma. A 45-year-old man presented with head ache since 15 days and vomiting since 13days. Magnetic resonance image demonstrated a large left frontal mass with heterogenous enhancement and moderate peri-lesional edema. The tumor and the infiltrated dura were radically removed. Postoperatively, the patient remained neurologically intact.
Highlights
Meningioma, one of the most common types of brain tumors in adults, remains a clinical problem yet to be solved by neurologist, neurosurgeons and oncologists
We report a rare case of anaplastic meningioma with review of literature
Tumors originating from the meninges are typically benign, they occasionally behave in an aggressive fashion and carry a much poorer prognosis than do benign meningiomas.[1,3,4,5,6]
Summary
Meningioma, one of the most common types of brain tumors in adults, remains a clinical problem yet to be solved by neurologist, neurosurgeons and oncologists. On examination the patient was alert, orientated and obeying commands. Cranial nerves examination was normal and fundus shows bilateral papilledema. Meningiomas constitute 15% to 20% of all primary brain tumors and 10% to 15% of all meningioma are considered malignant [1,2]. These tumors will recur after standard therapies of surgical excision, radiation therapy, radiosurgical techniques, and chemotherapy.[1,3,4,5,6] We report a rare case of anaplastic meningioma with review of literature. 2.1 Plain and Contrast MRI of brain revealed Fairly well defined rounded mass lesion measuring.
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