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Br J Neurosurg. 2018 Nov 19;1-4. doi: 10.1080/02688697.2018.1530730. Epub 2018 Nov 19.

An unusual case of a grade I meningioma with perineural spread.

British journal of neurosurgery

Mohammed Fadelalla, Avinash Kumar Kanodia, John Brunton, Kirit Singh, Antonia Torgersen, Esther Sammler, Colin Smith, David Mowle, Paul White, Kismet Hossain-Ibrahim

Affiliations

  1. a Department of Neurosurgery , NHS Tayside , Dundee , United Kingdom.
  2. b Department of Radiology , NHS Tayside , Dundee , United Kingdom.
  3. c Department of Neuropathology , NHS Lothian , Edinburgh , United Kingdom.
  4. d Department of Neurology , NHS Tayside , Dundee , United Kingdom.
  5. e Department of ENT , NHS Tayside , Dundee , United Kingdom.

PMID: 30450991 DOI: 10.1080/02688697.2018.1530730

Abstract

A 39-year-old lady with worsening intermittent diplopia and headaches was diagnosed with a WHO Grade I Meningothelial Meningioma with highly unusual perineural spread on imaging, making this the first reported case of this behaviour. Complete surgical resection was deemed too great a risk and the patient remains under observation. The process of perineural spread is not restricted to more aggressive brain tumours.

Keywords: Meningioma; meningothelial meningioma; perineural spread

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