Asymptomatic Syringomyelia Associated with Cerebellopontine Angle Meningioma —Case Report—

Fukui, Kazuhiro; Kito, Akira; Iguchi, Ikuzo

doi:10.2176/nmc.33.833

Cited by 17 publications

(16 citation statements)

References 8 publications

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“…From 1993 to 2013, only ten reports, accounting for a total of 11 meningiomas of the PCF associated with tonsillar herniation and syringomyelia, have been described in literature [2,6,7,12,13,[19][20][21]28]. The average age of the patients is 42 years with the female prevalence of 10:1.…”

Section: Discussionmentioning

confidence: 99%

“…The average age of the patients is 42 years with the female prevalence of 10:1. In range of solid tumors, meningiomas are the majority of them [2,6,7,12,13,[19][20][21]28], but no cases of syringobulbia associated with meningioma has been reported (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the tonsil impaction at the foramen magnum is diminished as the subarachnoid space obstruction, and CSF can flow following his physiological pathway. The re-establishment of a normal anatomical condition led to the gradual disappearance of syrinx and hydrocephalus [2,6,7,12,13,[19][20][21]28].…”

Section: Discussionmentioning

confidence: 99%

“…Syringomyelia is most commonly secondary to a Chiari malformation [22]. Its association with tumors of the posterior cranial fossa (PCF) is a rare condition, with few cases described in literature of epidermoids [11,27], medulloblastomas [21,28], gliomas [28], metastases [28], synovialomas [21], cysts [3,5,8,10,18,29,35], gangliocytomas [24], dysembryoplastic tumors [34], and meningiomas (Table 1) [2,6,7,9,12,13,[19][20][21]28] The authors present a case of syringobulbia secondary to a meningioma of the PCF, reviewing the pertinent literature and discussing surgical management and the potential pathogenetic mechanism.…”

Section: Introductionmentioning

confidence: 99%

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Syringobulbia associated with posterior fossa meningioma: a review of the literature

et al. 2014

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Purpose Syringomyelia can be defined as a degenerative, progressive and chronic spinal cord disease. Its association with tumors of the posterior cranial fossa (PCF) is a rare condition. Methods The authors report a rare case of syringobulbia consequent to a meningioma originating from PCF in a 17-yearold female, discussing the pathogenetic mechanism of development and the resolution of the syrinx cavity after surgical procedure. Results The postoperative period was uneventful without complications. At 6-month follow-up, MRI revealed complete tumor removal with resolution of the syrinx cavity. Conclusions In cases of syringomyelia and tonsillar herniation associated with PCF meningioma, the tumor resection allows to eliminate the mass effect and increases the size of the posterior fossa with the progressive ascent of the cerebellar tonsils and the consequent reduction of their downward movement with systolic pulsation. The re-establishment of a normal anatomical condition led to the gradual disappearance of syrinx and hydrocephalus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Syringobulbia associated with posterior fossa meningioma: a review of the literature

et al. 2014

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“…cerebellopontine angle meningioma, retrocerebellar arachnoid cyst, tentorial meningioma, cerebellar astrocytoma and cerebellar medulloblastoma [15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]. Tachibana et al [19 ]performed a multicenter retrospective analysis and reviewed MR imaging data in 164 patients with posterior fossa tumors.…”

Section: Discussionmentioning

confidence: 99%

Tonsillar Herniation and Cervical Syringomyelia Due to Postoperative Meningitis in Case of Pineal Region Epidermoid

Muzumdar

Balasubramanian²,

Goel³

2009

Pediatr Neurosurg

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The occurrence of tonsillar herniation and syringomyelia in association with tumor-induced obstructive hydrocephalus has been described in literature. In midline tumors, the symptomatology is predominantly due to hydrocephalus and resultant tonsillar herniation, but the treatment is primarily directed towards the tumor. A case of a pineal region epidermoid in a 17-year-old boy – in whom postoperative meningitis resulted in hydrocephalus, symptomatic tonsillar herniation and cervical syringomyelia – is presented here. Although the tumor was resected and cerebrospinal pathways were established, a ventriculoperitoneal shunt insertion was required for persistent symptomatic hydrocephalus. At serial follow-up after 2 years, the patient was asymp- tomatic and MR imaging showed a reduction in size of the cervical syrinx, but there was no significant ascent of the tonsils. The occurrence of tonsillar herniation and syringomyelia following postoperative meningitis in a case of pineal region epidermoid is uncommon and has not been reported till now. Cerebrospinal diversion procedure will most often be required in such a situation for symptomatic relief. The resolution of tonsillar herniation and syringomyelia may not always be complete on serially documented neuroimaging in such a situation. Stabilization of the previously progressive neurological course is the realistic goal. The need for an additional surgical procedure for associated tonsillar herniation and syringomyelia is advocated only if there is progressive neurological worsening.

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Kopfschmerz bei nichtvaskulären intrakraniellen Störungen

Göbel¹

1997

Die Kopfschmerzen

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Asymptomatic Syringomyelia Associated with Cerebellopontine Angle Meningioma —Case Report—

Cited by 17 publications

References 8 publications

Syringobulbia associated with posterior fossa meningioma: a review of the literature

Syringobulbia associated with posterior fossa meningioma: a review of the literature

Tonsillar Herniation and Cervical Syringomyelia Due to Postoperative Meningitis in Case of Pineal Region Epidermoid

Kopfschmerz bei nichtvaskulären intrakraniellen Störungen

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