CC BY 4.0 · Surg J (N Y) 2018; 04(02): e91-e95
DOI: 10.1055/s-0038-1660511
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Malignant Subdural Hematoma Associated with High-Grade Meningioma

Shinichiro Teramoto
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
,
Akira Tsunoda
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
,
Kaito Kawamura
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
,
Natsuki Sugiyama
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
,
Rikizo Saito
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
,
Chikashi Maruki
1   Department of Neurosurgery, Koshigaya Municipal Hospital, Saitama, Japan
› Institutsangaben
Weitere Informationen

Publikationsverlauf

06. März 2018

01. Mai 2018

Publikationsdatum:
11. Juni 2018 (online)

Abstract

A 70-year-old man, who had previously undergone surgical resection of left parasagittal meningioma involving the middle third of the superior sagittal sinus (SSS) two times, presented with recurrence of the tumor. We performed removal of the tumor combined with SSS resection as Simpson grade II. After tumor removal, since a left dominant bilateral chronic subdural hematoma (CSDH) appeared, it was treated by burr hole surgery. However, because the CSDH rapidly and repeatedly recurred and eventually changed to acute subdural hematoma, elimination of the hematoma with craniotomy was accomplished. The patient unfortunately died of worsening of general condition despite aggressive treatment. Histopathology of brain autopsy showed invasion of anaplastic meningioma cells spreading to the whole outer membrane of the subdural hematoma. Subdural hematoma is less commonly associated with meningioma. Our case indicates the possibility that subdural hematoma associated with meningioma is formed by a different mechanism from those reported previously.

 
  • References

  • 1 Yadav YR, Parihar V, Namdev H, Bajaj J. Chronic subdural hematoma. Asian J Neurosurg 2016; 11 (04) 330-342
  • 2 Yamamoto H, Hirashima Y, Hamada H, Hayashi N, Origasa H, Endo S. Independent predictors of recurrence of chronic subdural hematoma: results of multivariate analysis performed using a logistic regression model. J Neurosurg 2003; 98 (06) 1217-1221
  • 3 Di Rocco F, Mannino S, Puca A, Lauriola L, Pompucci A. Intracranial meningiomas associated with non-traumatic chronic subdural hematoma. Acta Neurochir (Wien) 2006; 148 (10) 1097-1102 , discussion 1102
  • 4 Cusick JF, Bailey OT. Association of ossified subdural hematomas and a meningioma. Case report. J Neurosurg 1972; 37 (06) 731-734
  • 5 Modesti LM, Binet EF, Collins GH. Meningiomas causing spontaneous intracranial hematomas. J Neurosurg 1976; 45 (04) 437-441
  • 6 Walsh JW, Winston KR, Smith T. Meningioma with subdural hematoma. Surg Neurol 1977; 8 (04) 293-295
  • 7 Sakai N, Ando T, Yamada H, Ikeda T, Shimokawa K. [Meningioma associated with subdural hematoma—report of a case and review of 15 reported cases (author's transl)]. Neurol Med Chir (Tokyo) 1981; 21 (03) 329-336
  • 8 Baskinis N, Grotenhuis A, Wandt H. Chronic subdural hematoma associated with an intracapsular meningioma. Case report and short review of the literature. J Neurosurg Sci 1984; 28 (01) 17-23
  • 9 Tomita Y, Kikuchi Y, Nanami T, Furukawa K, Onodera E, Kanaya H. [A case of convexity meningioma associated with chronic subdural hematoma]. No Shinkei Geka 1985; 13 (10) 1115-1119
  • 10 Wang AM, Chinwuba CE, O'Reilly GV, Kleefield J. Subdural hematoma in patients with brain tumor: CT evaluation. J Comput Assist Tomogr 1985; 9 (03) 511-513
  • 11 Itoyama Y, Fukumura A, Itoh Y, Urasaki E, Koga K. [Primary brain tumor complicating subdural hematoma]. No To Shinkei 1987; 39 (12) 1157-1161
  • 12 Chen JW, , U HS, Grafe MR. Unsuspected meningioma presenting as a subdural haematoma. J Neurol Neurosurg Psychiatry 1992; 55 (02) 167-168
  • 13 Pozzi M, Dario A, Marra A, Scamoni C, Dorizzi A. Associated chronic subdural haematoma and meningeal neoplasm. Two case reports. J Neurosurg Sci 1993; 37 (02) 113-117
  • 14 Popovic EA, Lyons MK, Scheithauer BW, Marsh WR. Mast cell-rich convexity meningioma presenting as chronic subdural hematoma: case report and review of the literature. Surg Neurol 1994; 42 (01) 8-13
  • 15 Tanaka N, Yamamoto M, Jimbo M, Ide M, Kubo O. Meningioma associated with chronic subdural hematoma and meningothelial cell cluster within the hematoma capsule—case report. Neurol Med Chir (Tokyo) 1994; 34 (03) 176-179
  • 16 Sinha VD, Dharker SR. Meningioma associated with contralateral chronic subdural haematoma: a short report. Neurol India 2001; 49 (02) 204-206
  • 17 Czyż M, Jarmundowicz W, Szarek D, Tabakow P, Markowska-Wojciechowska A. Bilateral chronic subdural haematomas in a patient with meningioma of the superior sagittal sinus - case report and pathophysiological study. Neurol Neurochir Pol 2011; 45 (05) 500-504
  • 18 Nery B, Costa RAF, Pereira LCT. , et al. Spontaneous subdural hematoma associated with microcystic meningioma: first case report in the literature. Br J Neurosurg 2017; 1-4
  • 19 Lefranc F, Nagy N, Dewitte O, Balériaux D, Brotchi J. Intracranial meningiomas revealed by non-traumatic subdural haematomas: a series of four cases. Acta Neurochir (Wien) 2001; 143 (10) 977-982 , discussion 982–983
  • 20 Chaskis C, Raftopoulos C, Noterman J, Flament-Durand J, Brotchi J. Meningioma associated with subdural haematoma: report of two cases and review of the literature. Clin Neurol Neurosurg 1992; 94 (03) 269-274
  • 21 Patil AA. Intracranial meningioma with subdural membrane. A case report. Acta Neurochir (Wien) 1982; 66 (1-2): 103-107
  • 22 Enam SA, Abdulrauf S, Mehta B, Malik GM, Mahmood A. Metastasis in meningioma. Acta Neurochir (Wien) 1996; 138 (10) 1172-1177 , discussion 1177–1178
  • 23 Kimura S, Kotani A, Takimoto T, Yoshino A, Katayama Y. Acute aggravation of subdural fluid collection associated with dural metastasis of malignant neoplasms: case report and review of the literature. Brain Tumor Pathol 2014; 31 (04) 299-303
  • 24 Reszec J, Hermanowicz A, Rutkowski R, Turek G, Mariak Z, Chyczewski L. Expression of MMP-9 and VEGF in meningiomas and their correlation with peritumoral brain edema. BioMed Res Int 2015; 2015: 646853
  • 25 Hong HJ, Kim YJ, Yi HJ, Ko Y, Oh SJ, Kim JM. Role of angiogenic growth factors and inflammatory cytokine on recurrence of chronic subdural hematoma. Surg Neurol 2009; 71 (02) 161-165 , discussion 165–166
  • 26 Bosnjak R, Derham C, Popović M, Ravnik J. Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome. J Neurosurg 2005; 103 (03) 473-484