Author(s)

Mustapha Hemama^1,2, Nourou Dine Adeniran Bankole^1,2*, Moussa Denou^1,2, Kaoutar Znati^2,3, Nizare El Fatemi^1,2, Moulay Rachid El Maquili^1,2

¹Neurosurgery Department, Ibn Sina Hospital, Rabat, Morocco.
²Mohammed V University, Rabat, Morocco.
³Neuroanatomopathology Department, Ibn Sina Hospital, Rabat, Morocco.

Background: Cystic meningioma is a rare variety of meningioma. It represents 4% to 7% of all meningiomas. The authors report a case of intracranial cystic meningioma with a review of literature. Case Report: A 59-year-old female presented with a history of headache followed by left side hemiplegia. CT scan and MRI of the brain showed a right parietal tumor with double solid and cystic components thought to be pilocytic astrocytoma or metastasis preoperatively. At surgery, the extraaxial solid and cystic lesion had a well defined capsule that could be easily separated from the perilesional cortical surface. The tumor was totally removed and the cyst was punctioned. The histological study showed a cystic meningioma WHO Grade I. A follow-up at 10 months after surgery, the patient was going well and recovered from the hemiplegiaa. Conclusion: Cystic meningioma is an uncommon tumor that should be considered in the differential diagnosis of brain tumors with a cystic component. The preoperative diagnosis and management could be in some cases challenging.

Meningiomas, Cyst, Differential Diagnosis, Case Report

Hemama, M. , Bankole, N. , Denou, M. , Znati, K. , Fatemi, N. and Maquili, M. (2020) Management and Diagnosis Challenges in Cystic Meningioma. A Case Report and Review of Literature. Open Journal of Modern Neurosurgery, 10, 222-229. doi: 10.4236/ojmn.2020.102023.