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Journal of Korean Neurosurgical Society 1996;25(11): 2344-2348.
A Case of Falx Meningioma Diagnosed due to Intratumoral Hemorrhage: Case Report.
Nam Young Lee, Seong Ho Kim, Hyeon Song Koh, Jin Young Youm, Shi Hun Song, Youn Kim
Department of Neurosurgery, College of Medicine, Chungnam National University, Taejon, Korea.
ABSTRACT
The authors report a case of falx meningioma which was first diagnosed with apopletic symptom due to intratumoral hemorrhage. A 72-year-old man was admitted to our hospital with a sudden deterioration of his level of consciousnesss down to a deep drowsiness, generalized seizure, and right hemiparesis. Radiological examinations, including brain CT(Computed Tomographic) scan and MRI(Magnetic Resonance Image) revealed a giant falx meningioma with intratumoral hemorrhage. During the operation the authors found a massive hemorrhage inside the tumor. Histologically, the tumor was meningotheliomatous meningioma and showed a hemorrhagic area with diffuse hemosiderin deposition. The authors also review the relevant literature and discuss the possible mechanism of hemorrhage in the meningioma.
Key Words: Meningioma; Intratumoral hemorrhage; Brain tumor
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