エグチ　セイイチロウ   EGUCHI SEIICHIRO   江口　盛一郎    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Treatment Strategy for Recurrent Hemorrhage from Meningioma: Case Report and Literature Review.
掲載誌名	正式名：World neurosurgery 略　 称：World Neurosurg ISSNコード：18788769/18788750
掲載区分	国外
巻・号・頁	124,pp.75-80
著者・共著者	Matsuoka Go†*, Eguchi Seiichiro, Ryu Bikei, Tominaga Tadasuke, Ishikawa Tatsuya, Yamaguchi Koji, Kawamata Takakazu
発行年月	2019/01
概要	We came across a rare case of recurrent hemorrhage from a meningioma. Here, we describe this case and discuss the treatment strategies for recurrent hemorrhage from a meningioma using a literature review. A 61-year-old woman with a history of two episodes of hemorrhage from a meningioma originating from the left falx cerebri, presented to our outpatient clinic. She was asymptomatic, and MRI revealed a small tumor along the falx cerebri; however, we decided to remove the hemorrhagic meningioma. No abnormal vascular structures were recognized on preoperative angiography and on intraoperative evaluation. The tumor was easily removed along the falx cerebri (Simpson grade I). The pathological diagnosis was transitional meningioma, World Health Organization grade I. The patient experienced no recurrence of tumor or hemorrhage for up to 15 months after surgery. The incidence of repeated bleeding from meningiomas is very rare and is seldom reported, because the mortality associated with hemorrhage in meningiomas is high (28-50%). Immediate diagnosis and surgical treatment with both hematoma evacuation and tumor removal are crucial to avoid inadequate and delayed treatment that may cause mortality.
DOI	10.1016/j.wneu.2018.12.124
PMID	30620893