Extensive pulmonary metastases 13 years after initial resection of intracranial meningioma

• Published in: Asian journal of neurosurgery Vol. 14; no. 1; pp. 314 - 317
• Main Authors: Rajadurai, Samuel, Thotathil, Ziad, Biju, Rakesh, Ziad, Fouzia, Hussain, Zakier
• Format: Journal Article
• Language: English
• Published: A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.01.2019; Wolters Kluwer India Pvt. Ltd; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd
• Subjects: Cancer metastasis; Care and treatment; Case Report; Case studies; CAT scans; Diagnosis; Excision (Surgery); Health; Meningioma; Prognosis; Public health; Surgery; Tomography; Rosai–Dorfman disease; pulmonary metastases; recurrent meningioma; Meningioma; metastatic meningioma; Rosai-Dorfman disease
• ISSN: 1793-5482; 2248-9614
• DOI: 10.4103/ajns.AJNS_191_18

Background: Extracranial metastasis from intracranial meningioma is a very rare condition. A current literature review reveals that only few cases are documented with extensive pulmonary involvement >10 years after initial intracranial meningioma resection. Diagnosis of pulmonary meningioma is often confirmed by computed tomography chest-guided core biopsies. The prognosis of extensive metastatic pulmonary meningioma, however, is unknown and there is no gold standard treatment option. Case Description: We present a case of multiple pulmonary meningioma metastases developing 13 years after initial resection of left occipital parafalcine World Health Organization Grade I intracranial meningioma. Conclusion: There are no established guidelines for the optimal management or surveillance of extensive pulmonary metastatic meningioma. In patients with high-grade meningioma and multiple cannonball pulmonary lesions, metastatic meningioma should be considered as part of the differential diagnosis. Metastatic meningioma may occur even a decade after initial tumour resection.