2012 issue 4

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Volume 21, issue 4

Case report

Foramen magnum meningioma

Tadeusz Mendel1, Teresa Wierzba-Bobrowicz2, Tomasz Stępień2, Radosław Michalik3, Renata Poniatowska4
1. Oddział Rehabilitacji Neurologicznej, II Kliniki Neurologicznej, Instytut Psychiatrii i Neurologii, Warszawa
2. Zakład Neuropatologii, Instytut Psychiatrii i Neurologii, Warszawa
3. Klinika Neurochirurgii, Instytut Psychiatrii i Neurologii, Warszawa
4. Zakład Radiologii, Instytut Psychiatrii i Neurologii, Warszawa
Postępy Psychiatrii i Neurologii 2012, 21(4): 307–312
Keywords: meningioma, foramen magnum

Abstract

Aim. A case of a very rare meningioma localization in the posterior fossa (at the foramen magnum) is presented.
Case report. The patient, a 66-year-old woman suffering from headaches and vertigo, was submitted to MRI examination which revealed a meningioma localized at the foramen magnum. Further observation was recommended. However, since the patient's neurological symptoms were aggravating, a subtotal resection of the meningioma was performed 4 years later. The diagnosis of transitional meningioma was confirmed by neuropathological examination.
Comment. Neurologists and neurosurgeons relatively often see patients with meningiomas in their clinical practice. However, doubts frequently arise whether asymptomatic or oligosymptomatic patients should receive conservative or rather surgical treatment. Sometimes it is difficult to decide whether such patients should be persuaded to submit to a surgery immediately, or the surgery should be postponed until they develop disquieting clinical and neurological symptoms.

Address for correspondence:
Dr n. med. Tadeusz Mendel
II Klinika Neurologiczna, Instytut Psychiatrii i Neurologii
ul. Sobieskiego 9, 02-957 Warszawa
tel. 22-4582537
e-mail: mendel@ipin.edu.pl