Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 594-598, 2006

Sphenoid Ridge Lymphoplasmacyte-rich Meningioma

  • Joon-Khim Loh

      Affiliations

    • Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Neurosurgery, College of Medicine, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Joon-Khim Loh, Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, 482, Shan-Ming Road, Hsaio-Kang District, Kaohsiung 812, Taiwan
    • ,
  • Shiuh-Lin Hwang

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Kun-Bow Tsai

      Affiliations

    • Department of Pathology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Aij-Lie Kwan

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Shen-Long Howng

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Received 22 April 2005; received in revised form 3 June 2005; accepted 13 September 2005.

There are numerous histologic variants of meningioma. Among the more uncommon are intracranial masses composed of meningiomatous and plasma cell-lymphocytic elements. We report a 22-year-old woman with lymphoplasmacyte-rich meningioma who initially presented with dizziness and progressive headache. Neuroradiologic images revealed typical meningiomas of the sphenoid ridge with extensive perifocal edema. Complete macroscopic removal of the tumor was performed. Histologic examination revealed a meningioma with massive infiltrates of plasma cells and lymphocytes. Brain computed tomography on the 6th postoperative day revealed total removal of the tumor with marked reduction of brain edema. Complete resolution of symptoms occurred with no evidence of tumor recurrence during 2 years of follow-up.

Key Words:  brain tumor , meningioma

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PII: S0929-6646(09)60156-X

doi:10.1016/S0929-6646(09)60156-X

Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 594-598, 2006

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