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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Case Report

Coexistence of Large Meningioma and Arteriovenous Malformation: A Case Report and Literature Review

Author(s): Xue Wang, Yang Liu*, Rong-Wu Tang and Ye Tao Zhu

Volume 20, 2024

Published on: 16 October, 2023

Article ID: e100323214541 Pages: 5

DOI: 10.2174/1573405619666230310091939

Price: $65

Abstract

Introduction The simultaneous presence of a giant intracranial meningioma and an arteriovenous malformation(AVM)in the same cerebral hemisphere is extremely rare. The treatment should be individualized depending on the case.

Case Presentation A 49-year-old man presented with hemiparesis. Preoperative neuroimaging revealed a giant lesion and an AVM on the left hemisphere of the brain. Craniotomy and tumour resection were performed. The AVM was not treated and needed to be followed up. The histological diagnosis was meningioma (World Health Organization grade I). The patient was in good neurological condition postoperatively.

Conclusion This case adds to the growing literature suggesting that the association between the two lesions is complex. Besides, treatment depends on the risk of neurologic function damage and hemorrhagic stroke of meningiomas and AVMs.

[1]
Louis DN, Perry A, Wesseling P, et al. The 2021 WHO classification of tumors of the central nervous system: A summary. Neuro-oncol 2021; 23(8): 1231-51.
[http://dx.doi.org/10.1093/neuonc/noab106] [PMID: 34185076]
[2]
Stapf C, Mast H, Sciacca RR, et al. The New York Islands AVM Study: Design, study progress, and initial results. Stroke 2003; 34: 29-33.
[http://dx.doi.org/10.1161/01.STR.0000068784.36838.19] [PMID: 12690217]
[3]
Montano N, Papacci F, Pedicelli A. The role of preoperative angiography in the management of giant meningiomas associated to vascular malformation. Surg Neurol Int 2015; 6(1): 114.
[http://dx.doi.org/10.4103/2152-7806.159490] [PMID: 26167366]
[4]
Pia HW, Obrador S, Martin JG. Association of brain tumours and arterial intracranial aneurysms. Acta Neurochir 1972; 27(3-4): 189-204.
[http://dx.doi.org/10.1007/BF01401881] [PMID: 4669242]
[5]
Soria E, Fine E, Hajdu I. Association of intracranial meningioma with arteriovenous malformation. Surg Neurol 1990; 34(2): 111-7.
[http://dx.doi.org/10.1016/0090-3019(90)90106-Y] [PMID: 2195683]
[6]
Moumen N, Arkha Y, El hassani MR, Chakir N, El khamlichi A, Jiddane M. Coexistence of intracranial meningiomas and vascular malformations: A fortuitous association or direct relationship? Diagn Interv Imaging 2012; 93(1): 67-71.
[http://dx.doi.org/10.1016/j.diii.2011.11.004] [PMID: 22277715]
[7]
Fine RD, Gonski A. Cerebral tumour with intracranial angioma. Med J Aust 1976; 1(8): 227-30.
[http://dx.doi.org/10.5694/j.1326-5377.1976.tb140551.x] [PMID: 1263981]
[8]
Fukawa O, Tanaka T. [The association of intracranial meningioma with arteriovenous malformation and aneurysm (author’s transl)]. No Shinkei Geka 1977; 5(2): 175-80.
[PMID: 557738]
[9]
Kasantikul V, Brown WJ. Meningioangiomatosis in the absence of von Recklinghausen's disease. Surg Neurol 1981; 15: 71-5.
[http://dx.doi.org/10.1016/S0090-3019(81)80095-X]
[10]
Bitoh S, Hasegawa H, Kato A, Tamura K, Mabuchi E, Kobayashi Y. Meningeal neoplasms associated with cerebral vascular malformations. Surg Neurol 1987; 27(5): 469-75.
[http://dx.doi.org/10.1016/0090-3019(87)90256-4] [PMID: 2436324]
[11]
Ohno M, Nagai H, Misawa I, Sugiyama N. [A meningioma associated with AVM: A case report]. No Shinkei Geka 1986; 14(2): 215-9.
[PMID: 3703119]
[12]
Kadoya C, Kajiwara H, Soejima T, Yamada H, Matsuoka S. Arteriovenous malformation associated with meningioma. J UOEH 1991; 13(1): 35-8.
[http://dx.doi.org/10.7888/juoeh.13.35] [PMID: 2028112]
[13]
Sawamura Y, Janzer RC, Fankhauser H, de Tribolet N. Arteriovenous malformation in meningothelial meningioma: Case report. Neurosurgery 1991; 29: 109-12.
[http://dx.doi.org/10.1097/00006123-199107000-00019]
[14]
Castillo M, Thompson JE, Mukherji SK. Association of an intracranial arteriovenous malformation and a meningioma. Neuroradiology 1998; 40(9): 574-6.
[http://dx.doi.org/10.1007/s002340050646] [PMID: 9808313]
[15]
Barresi V, Caffo M, Tuccari G. Classification of human meningiomas: Lights, shadows, and future perspectives. J Neurosci Res 2016; 94(12): 1604-12.
[http://dx.doi.org/10.1002/jnr.23801] [PMID: 27376782]
[16]
Folkman J. Tumor angiogenesis. Adv Cancer Res 1985; 43: 175-203.
[http://dx.doi.org/10.1016/S0065-230X(08)60946-X] [PMID: 2581424]
[17]
Motro B, Itin A, Sachs L, Keshet E. Pattern of interleukin 6 gene expression in vivo suggests a role for this cytokine in angiogenesis. Proc Natl Acad Sci 1990; 87: 3092-6.
[http://dx.doi.org/10.1073/pnas.87.8.3092] [PMID: 1691500]
[18]
Ishikawa F, Miyazono K, Hellman U, et al. Identification of angiogenic activity and the cloning and expression of platelet-derived endothelial cell growth factor. Nature 1989; 338(6216): 557-62.
[http://dx.doi.org/10.1038/338557a0] [PMID: 2467210]
[19]
Suddith RL, Kelly PJ, Hutchison HT, Murray EA, Haber B. In vitro demonstration of an endothelial proliferative factor produced by neural cell lines. Science 1975; 190: 682-4.
[http://dx.doi.org/10.1126/science.171768] [PMID: 171768]
[20]
Ann C Hong M, Emmanuel M Salonga A, Joy O Khu K. Coexistence of arteriovenous malformation and meningioma in a single patient: Systematic review and illustrative case. J Clin Neurosci 2021; 88: 75-82.
[http://dx.doi.org/10.1016/j.jocn.2021.03.026] [PMID: 33992208]
[21]
Solomon RA, Connolly ES Jr, Connolly ES. Arteriovenous malformations of the brain. N Engl J Med 2017; 376(19): 1859-66.
[http://dx.doi.org/10.1056/NEJMra1607407] [PMID: 28489992]
[22]
Derdeyn CP, Zipfel GJ, Albuquerque FC, et al. Management of brain arteriovenous malformations: A scientifific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2017; 48(8): e200-24.
[http://dx.doi.org/10.1161/STR.0000000000000134] [PMID: 28642352]
[23]
da Costa L, Wallace MC, ter Brugge KG, O’Kelly C, Willinsky RA, Tymianski M. The natural history and predictive features of hemorrhage from brain arteriovenous malformations. Stroke 2009; 40(1): 100-5.
[http://dx.doi.org/10.1161/STROKEAHA.108.524678] [PMID: 19008469]
[24]
Leblanc R, Levesque M, Comair Y, Ethier R. Magnetic resonance imaging of cerebral arteriovenous malformations. Neurosurgery 1987; 21: 15-20.
[http://dx.doi.org/10.1227/00006123-198707000-00004] [PMID: 3614598]

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