Resolution of tonsillar herniation and syringomyelia after resection of supratentorial large meningioma

IF 2.5 Q3 CLINICAL NEUROLOGY

Brain & spine Pub Date : 2025-01-01 DOI:10.1016/j.bas.2025.104312

Chengjian Lou, Linkai Wang, Xiaoli Pan, Dan Xu, Yili Chen

{"title":"Resolution of tonsillar herniation and syringomyelia after resection of supratentorial large meningioma","authors":"Chengjian Lou, Linkai Wang, Xiaoli Pan, Dan Xu, Yili Chen","doi":"10.1016/j.bas.2025.104312","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Chiari malformation type I (CM1) with syringomyelia caused by supratentorial lesions is extremely rare, and the mechanism has not been well explained.</div></div><div><h3>Methods</h3><div>A 25-year-old female patient with no significant medical history who presented with progressive pain in the left neck for one month. MRI examination showed a giant meningioma in the trigone of the lateral ventricle accompanied with CM1 and syringomyelia.</div></div><div><h3>Results</h3><div>The patient underwent left parietal-occipital cortical approach surgery to remove the giant tumor in the trigone of the left lateral ventricle. The neck pain and left upper limb numbness were relieved immediately. CM1 and syringomyelia disappeared without posterior fossa decompression after surgical resection of the supratentorial tumor.</div></div><div><h3>Conclusion</h3><div>This case shows that supratentorial space-occupying lesions (SOLs) causing acquired Chiari malformation (ACM) and syringomyelia is closely related to the tumor oppresses and increases the pressure of the posterior cranial fossa. Posterior fossa decompression was not needed for ACM and syringomyelia.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104312"},"PeriodicalIF":2.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain & spine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772529425001316","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Chiari malformation type I (CM1) with syringomyelia caused by supratentorial lesions is extremely rare, and the mechanism has not been well explained.

Methods

A 25-year-old female patient with no significant medical history who presented with progressive pain in the left neck for one month. MRI examination showed a giant meningioma in the trigone of the lateral ventricle accompanied with CM1 and syringomyelia.

Results

The patient underwent left parietal-occipital cortical approach surgery to remove the giant tumor in the trigone of the left lateral ventricle. The neck pain and left upper limb numbness were relieved immediately. CM1 and syringomyelia disappeared without posterior fossa decompression after surgical resection of the supratentorial tumor.

Conclusion

This case shows that supratentorial space-occupying lesions (SOLs) causing acquired Chiari malformation (ACM) and syringomyelia is closely related to the tumor oppresses and increases the pressure of the posterior cranial fossa. Posterior fossa decompression was not needed for ACM and syringomyelia.

查看原文本刊更多论文

幕上大脑膜瘤切除术后扁桃体突出和脊髓空洞的解决

背景：由幕上病变引起的I型chiari畸形（CM1）伴脊髓空洞极为罕见，其发病机制尚不清楚。方法25岁女性患者，无明显病史，左颈部进行性疼痛1个月。MRI示侧脑室三角区巨大脑膜瘤伴CM1及脊髓空洞。结果患者行左侧顶枕皮质入路手术切除左侧侧脑室三角区巨大肿瘤。颈部疼痛、左上肢麻木立即缓解。幕上肿瘤切除后，无后颅窝减压，CM1和脊髓空洞消失。结论本病例提示幕上占位性病变（SOLs）引起的后颅窝获得性Chiari畸形（ACM）和脊髓空洞症与肿瘤压迫和增加颅后窝压力密切相关。ACM和脊髓空洞不需要后颅窝减压。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊