CASE REPORTS   

Journal of Neurosurgical Sciences 2003 December;47(4):215-27

Copyright © 2004 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bilateral chronic subdural hematoma associated with meningioma. Case report and review of the literature

Bruno M. C. ¹, Santangelo M. ¹, Panagiotopoulos K. ¹, Piscopo G. A. ¹, Narciso N. ², Del Basso De Caro M. L. ³, Briganti F. ⁴, Cerillo A. ¹

¹ Department of Neurosurgey, Medical School “Federico II” University of Naples, Naples, Italy 2 Operative Unit of Neurosurgery “S. Giovanni di Dio e Ruggi d’Aragona” Hospital Salerno, Italy 3 Neuropathological Section Department of Biomorphological and Functional Science, Medical School “Federico II” University of Naples, Naples, Italy 4 Unit of Neuroradiology Department of Neurological Science Medical School “Federico II” University of Naples, Naples, Italy

Gross intra­cra­ni­al hem­or­rhage asso­ciat­ed ­with ­brain ­tumor has ­been report­ed to ­range ­from 3.6-10%. Brain metas­ta­ses and malig­nant gli­o­ma are the ­most fre­quent under­ly­ing pathol­o­gies. Intracranial hem­or­rhage relat­ed to menin­gio­ma is a ­rare con­di­tion. Subarachnoid hem­or­rhage, ­acute sub­du­ral hemat­o­ma, intra­tu­mo­ral and intra­pa­ren­chy­mal hemat­o­mas are the ­most com­mon ­forms of bleed­ing asso­ciat­ed ­with menin­gio­ma. By con­trast, chron­ic sub­du­ral hemat­o­ma (cSDH) and intra­ven­tric­u­lar hem­or­rhage are ­seen ­less fre­quent­ly. The ­authors ­report a ­very ­rare ­case of ­left fron­to-parie­tal con­vex­ity menin­gio­ma asso­ciat­ed ­with bilat­er­al cSDH in a ­patient ­with his­to­ry of ­recent ­minor ­head trau­ma and ­review the lit­er­a­ture on hem­or­rhage asso­ciat­ed ­with menin­gio­mas.