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Journal of Korean Neurosurgical Society 1978;7(1): 201-206.
Successful Removal of a Falx Meningioma in a Six-year-old Girl: Report of a Case.
Kwang Yong Cho, Jung Chung Lee, Jung Hyun Woo
Department of Neurosurgery, Chonnam University Medical School, Kwangju, Korea.
ABSTRACT
The authors reported a case of a dumbbell-shaped meningioma which originated from the falx. A six-year-old girl was admitted to our clinic with generalized convulsion, headache, vomiting, visual disturbance and motor wakness of the left extremity. Neurological examinations revealed the left hemiparesis with hyperactive deep tendon reflex and marked papilledema. The skull films showed prominent diastasis of the coronal and sagittal sutures and abnormal calcification in the frontal region. The right carotid angiogram showed a huge irrgular tumor vascularity in the midfrontal region. On Nov. 5, 1977 a right frontal craniotomy was carried. A large dumbbell-shaped tumor was removed which arised from the falx cerebri. Each tumor measured 5x5x6 cm, 6x6x7 cm respectively and weighed 110 gm totally. The histopathological examination comfirmed the diagnosis of fibroblastic meningioma. Postoperative course was uneventful and the patient was discharged on the 14 th hospital day. The patient was seen 6 months after operation without any symptom.
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