Convexity meningioma
Neurosurgery Service, General University Hospital Alicante, Spain.
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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.