Table of Contents

Convexity meningioma

J.Sales-Llopis

Neurosurgery Service, General University Hospital Alicante, Spain.



Intracranial meningioma that grow on the surface of the brain directly under the skull.

Classification

Convexity meningioma classification.

Epidemiology

Convexity meningioma epidemiology.

Clinical features

Convexity meningioma clinical features.

Diagnosis

Convexity meningioma diagnosis.

Differential diagnosis

Convexity meningioma differential diagnosis.

Treatment

Convexity meningioma treatment.

Outcome

Convexity meningioma outcome.

Complications

Convexity meningioma complications.

Case series

Convexity meningioma case series.

Case reports

Convexity meningioma case reports.

Case reports from the HGUA

Q11705

64-year-old male

Medical History: Allergy to Nonsteroidal anti-inflammatory drugs, ex-smoker (30 years), bronchopathy (asthma), dyslipidemia, mixed hearing loss, thrombocytopenia under investigation.

Current Medication: Atorvastatin 30 mg, Mebhydrolin 150 mg, Salbutamol inhaler 100 mcg/1 puff, Paracetamol 1000 mg, Azithromycin 500 mg, Tamsulosin/Solifenacin 0.4/6 mg.

The patient presented with a history of malaise, headache, nausea, vomiting, confusion, and disorientation over the past few weeks. Admission was prompted by a cerebral loss of consciousness.

The patient was conscious and oriented, without neurological focal deficits.

Complementary Examination:

Solid mass in the right frontal lobe, approximately 144 x 39.7 x 31.5 mm in size, causing significant perilesional edema. Suspected to be an atypical meningioma or hemangiopericytoma.

Atypical meningioma or hemangiopericytoma causing significant perilesional edema.

CT-Thorax and Abdomen-Pelvis: Unremarkable, except for a 6 mm hepatic cyst in segment 8.

This case report highlights the challenging presentation of an atypical meningioma in an elderly male, emphasizing the need for prompt diagnosis and intervention. The upcoming surgery aims to address the cerebral mass and associated complications, with careful consideration of the patient's overall health and ongoing medical management. Further updates and outcomes will be documented following the intervention.