Spontaneous Intraventricular Hemorrhage Caused by Sphenoid Meningioma

Abstract

Introduction Benign sphenoid meningioma presenting with an acute intraventricular hemorrhage is extremely uncommon.

Case report We report a case of a 61-year-old man who was admitted after sudden onset of a severe headache. Brain computed tomography revealed a sphenoid meningioma with acute intraventricular hemorrhage.

Discussion Intraventricular hemorrhage caused by Meningiomas is infrequent. Several hypotheses have been proposed to explain the cause of hemorrhage.

Conclusion The benignity of meningiomas is relative because these tumors can cause exceptional complications such as bleeding.

Keywords

hemorrhage - intraventricular - meningioma - sphenoid

• References

• 1 Kondziolka D, Bernstein M, Resch L. , et al. Significance of hemorrhage into brain tumors: clinicopathological study. J Neurosurg 1987; 67 (06) 852-857
• 2 Lazaro RP, Messer HD, Brinker RA. Intracranial hemorrhage associated with meningioma. Neurosurgery 1981; 8 (01) 96-101
• 3 Little Jr JR, Blomquist Jr GA, Ethier R. Intraventricular hemorrhage in adults. Surg Neurol 1977; 8 (03) 143-149
• 4 Wakai S, Yamakawa K, Manaka S, Takakura K. Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance. Neurosurgery 1982; 10 (04) 437-444
• 5 Murai Y, Yoshida D, Ikeda Y, Teramoto A, Kojima T, Ikakura K. Spontaneous intraventricular hemorrhage caused by lateral ventricular meningioma—case report. Neurol Med Chir (Tokyo) 1996; 36 (08) 586-589
• 6 Fu Z, Xu K, Xu B, Qu L, Yu J. Lateral ventricular meningioma presenting with intraventricular hemorrhage: a case report and literature review. Int J Med Sci 2011; 8 (08) 711-716
• 7 Das D, Singh V. A sphenoid wing meningioma presenting with intraparenchymal and intraventricular hemorrhage treated with endovascular embolization alone: case report and radiologic follow-up. J Neurointerv Surg 2012; 4 (06) e36
• 8 Bosnjak R, Derham C, Popović M, Ravnik J. Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome. J Neurosurg 2005; 103 (03) 473-484
• 9 Frič R, Hald JK, Antal EA. Benign sphenoid wing meningioma presenting with an acute intracerebral hemorrhage—a case report. J Cent Nerv Syst Dis 2016; 8: 1-4
• 10 Vij M, Jaiswal S, Jaiswal AK, Kumar S, Behari S. Meningioma with hemorrhagic onset: two case reports. J Cancer Res Ther 2012; 8 (01) 145-147
• 11 Kim DG, Park CK, Paek SH. , et al. Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage. Acta Neurochir (Wien) 2000; 142 (02) 165-168
• 12 Rim NJ, Kim HS, Kim SYA. A “benign” sphenoid ridge meningioma manifesting as a subarachnoid hemorrhage associated with tumor invasion into the middle cerebral artery. Korean J Radiol 2008; 9 (Suppl): S10-S13
• 13 Okuno S, Touho H, Ohnishi H, Karasawa J. Falx meningioma presenting as acute subdural hematoma: case report. Surg Neurol 1999; 52 (02) 180-184
• 14 Kothbauer P, Jellinger K, Falment H. Primary brain tumour presenting as spontaneous intracerebral haemorrhage. Acta Neurochir (Wien) 1979; 49 (1–2): 35-45
• 15 Renowden SA, Hourihan MD. Case report: acute subdural haematoma—an unusual presentation of a meningioma. Clin Radiol 1992; 45 (05) 351-352