EC Neurology

Meningiomas are often benign tumors, discovered incidentally or following an insidious neurological symptomatology. Hemorrhages in such situations may occur intra-tumorally, in sub-arachnoidal space, in sub-dural space, or in cerebral parenchyma, and the mechanism is still poorly understood. This last location is exceptional.

Imaging allows one to orient the diagnosis and establish an adequate therapeutic strategy.

CT is often the examination of choice in emergencies; MRI remains the modality of choice.

Keywords: Hemorrhagic Brain Tumor; Meningioma; Intracerebral Hematoma; CT; MRI

1. Jenson M., et al. “Meningiomas Can Present as Intracranial Hemorrhage in Rare Cases: A Case Report of a Patient with a History of Minor Trauma and Massive Intracranial Hemorrhage”. Cureus6 (2022): e25823.
2. Kohli CM and Crouch RL. “Meningioma with intracerebral hematoma”. Neurosurgery2 (1984): 237-240.
3. Dietemann JL., et al. “Tumeurs cranioencéphaliques: tumeurs extra-axiales”. In: Neuro-Imagerie Diagnostique. Elsevier (2018): 297-360.e8.
4. Niiro M., et al. “Clinico-pathological study of meningiomas with haemorrhagic onset”. Acta Neurochirurgica9 (2003): 767-772.
5. Kuzeyli K., et al. “Intratumoral haemorrhage: a clinical study”. Journal of Clinical Neuroscience5 (2004): 490-492.
6. Sinurat R and Banjarnahor JD. “Incidental bleeding meningioma”. Asian Journal of Neurosurgery2 (2017): 247-249.
7. Lefranc F., et al. “Intracranial meningiomas revealed by non-traumatic subdural haematomas: a series of four cases”. Acta Neurochirurgica10 (2001): 977-982.
8. Siedlecki Z., et al. “Intracranial hemorrhages associated with meningiomas: Own experience and literature review”. Journal of Cancer Research and Therapeutics3 (2022): 820-826.
9. Xie ZR., et al. “Radiological classification of meningiomas with hemorrhagic onset and its clinical significance”. Oncology Letters4 (2022): 341.