Meningiomatosis in a patient with no family history that conditions the development of the disease

Authors

Keywords:

meningiomatosis, multiple meningioma, neurofibromatosis type 2.

Abstract

Introduction: Meningiomas are tumors that originate from the meninges. These constitute the most common extra-axial intracranial tumors, generally benign and slow growing. Multiple meningiomas are considered when a patient without neurofibromatosis type 2 has more than one meningioma within the central nervous system, regardless of whether they occur simultaneously or separately in time.

Objective: To describe clinical and imaging aspects of meningiomatosis in a patient with no family history that determines the development of the disease.

Case report: This the case of a white female patient, 68 years old, with history of compensated ischemic heart disease and high blood pressure, and no family history of other diseases. Approximately seven months ago, she began to report progressive weakness and instability at walking, with tendency to lateralize to the right. These symptoms were associated with oppressive headache in the right hemicranial zone with no other clinical elements. Simple and contrasted cranial magnetic resonance imaging confirmed the presence of multiple brain meningiomas.

Conclusion: The imaging studies, the age of presentation in the absence of criteria and family history of neurofibromatosis type 2 or another genetic disease that determines the development of meningiomatosis, made it possible to diagnose multiple, probably sporadic, meningiomas in the case reported.

Downloads

Download data is not yet available.

Author Biography

Yessika Dueñas Ojeda, Hospital Universitario "General Calixto García"

Especialista de 1er grado en Neurología,  Profesor Asistente

References

1. Lynch J, Sales L, Welling L, Cardoso R. Multiple Intracranial Meningiomas. Diagnosis, biological behavior and treatment. Arq Neuropsiquiatr 2008; 66(3-B): 702-7.

2. Rogers L, Barani I, Chamberlain M, Kaley T, McDermott M, Raizer J, et al. Meningiomas: knowledge base, treatment outcomes, and uncertainties. A RANO review. J Neurosurg 2015; 122: 4-23.

3. Wiemels JL, Wrensh M, Claus EB. Epidemiology and etiology of meningioma. J Neurooncology 2010; 99(3): 307-14.

4. Barboza M, Rojas D, Escoe K - Meningiomas múltiples: ¿Qué tan benigna resulta su presencia?J Bras Neurocirurg.2008;19 (1): 53-5.

5. Yudoyono F, Sidabutar R, Arifin MZ, et al. Multiple meningiomas consisting of fibrous meningioma, transitional menigiom, and meningotheliomatous meningioma in one adult patient. Asian J Neurosurg. 2015;10(4):348.

6. Terrier LM, François P. Meningiomes multiples. Neurochirurgie 2016; 62(3):128-35.

7. Djoubairou B, Karekezi C, Moussé N, Doleagbenou A, Gana R, Abbadi N, et al. Méningiome intracrânien multiple: expérience du service de neurochirurgie CHU Avicenne Rabat - Salé, à propos de 4 cas et revue de la literatura. Pan African Medical Journal 2014;1-5.

8. Jain S, Sundar V, Sharma V, Goel R, Prasanna K. Multiple spinal and cranial meningiomas: A case report and review of literature. Asian J Neurosurg 2015; 10(2): 132-134

9. Parera IC, Báez A, Banfi N, Blumenkrantz Y, Halfon MJ, Barros M, et al. Meningiomas en neurooncología. N e u r o l A r g . 2 0 1 6; 8(3):210–226

10. Juratli TA, Prilop I, Saalfeld FC, Herold S, Meinhardt M, Wenzel C, et al. Sporadic multiple meningiomas harbor distinct driver mutations. Acta Neuropathol Commun (2021) 9:8

11. Juratli TA, McCabe D, Nayyar N, Williams EA, Silverman IM, Tummala SS, Fink AL, Baig A, Martinez‑Lage M, Selig MK et al. DMD genomic deletions characterize a subset of progressive/higher‑grade meningiomas with poor outcome. Acta Neuropathol 2018;136:779–92.

12. Smith MJ. Germline and somatic mutations in meningiomas. Cancer Genet. 2015;208:107-14

13. Amelot A, Lemaistre G, Cornu P, Kalamarides M, Peyre M. Multiple meningiomas in patients with Turner syndrome. Acta Neurochir 2015;157: 621-623.

14. Pereira BJA, de Almeida AN, Paiva WS, de Aguiar PHP, Teixeira MJ, Marie. SKN Natural history of intraventricular meningiomas: systematic review. Neurosurg Rev (2020) 43:513–523.

15. Setia V, Sachdeva D, Odugoudar S, et al. Rare case of multiple meningiomas in non-neurofibromatosis patient at unusual locations. Romaniam Neurosurgery. 2017;31(2):240-243.

16. Benavides Burbano CA, Díaz Medina JA, Osorio Bohórquez A, Díaz Forero AF, Riveros Castillo WM. Meningiomas Múltiples Intracraneales en ausencia de Neurofiromatosis. Reporte de caso y revisión de la literature. Rev. Chil. Neurocirugía 2019; 45: 264-268

17. Shamsul A, Kumar ChB, Shalike N, et al.Surgical management of clinoidal meningiomas:10 cases analysis. Neuroimmunology and Neuroinflammation. 2018;5:21

18. Bachir S, Shah S, Shapiro S, Koehler A, Mahammedi A, Samy RN, et al. Neurofibromatosis Type 2 (NF2) and the Implications for Vestibular Schwannoma and Meningioma Pathogenesis. Int. J. Mol. Sci. 2021;22:690.

19. Smith MJ, Bowers NL, Bulman M, Gokhale C, Wallace AJ, King AT, et al. Revisiting Neurofibromatosis Type 2 Diagnostic Criteria to Exclude LZTR1-Related Schwannomatosis. Neurology. 2017; 88:87–92.

20. Evans DG, King AT, Bowers NL, Tobi S, Wallace AJ, Perry M, et al. Identifying the deficiencies of current diagnostic criteria for neurofibromatosis 2 using databases of 2777 individuals with molecular testing. Genet. Med. 2019; 21:1525–33.

21. Rosser T. Continuum (MINNEAP MINN). 2018;24(1,Child Neurology):96-129.

22. Tsermoulas G, Turel MK, Wilcox JT, et al. Management of multiple meningiomas. J Neurosurg. 2017;128(5):1403-1407.

Published

2022-04-30

How to Cite

1.
Robles Robles Y, Dueñas Ojeda Y, León Castellón R. Meningiomatosis in a patient with no family history that conditions the development of the disease. Rev Cubana Neurol Neurocir [Internet]. 2022 Apr. 30 [cited 2026 Feb. 11];12(1). Available from: https://revneuro.sld.cu/index.php/neu/article/view/499

Issue

Section

Case presentation