Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report
Background/Aim: Lipomatous meningioma is a rare type of meningioma that is formed as the result of an accumulation of lipids inside the cell due to metabolic activity dysregulation. It differs from other types of meningiomas in its radiological and immunohistochemical characteristics. We report a ra...
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| Format: | Article |
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MDPI AG
2022-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/2/365 |
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| author | Pierfrancesco Lapolla Placido Bruzzaniti Giuseppa Zancana Antonella Stoppacciaro Michela Relucenti Rui Chen Xiaobo Li Andrea Mingoli Alessandro Frati Pietro Familiari |
| author_facet | Pierfrancesco Lapolla Placido Bruzzaniti Giuseppa Zancana Antonella Stoppacciaro Michela Relucenti Rui Chen Xiaobo Li Andrea Mingoli Alessandro Frati Pietro Familiari |
| author_sort | Pierfrancesco Lapolla |
| collection | DOAJ |
| description | Background/Aim: Lipomatous meningioma is a rare type of meningioma that is formed as the result of an accumulation of lipids inside the cell due to metabolic activity dysregulation. It differs from other types of meningiomas in its radiological and immunohistochemical characteristics. We report a rare case of a patient treated in our department for this particular type of meningioma who developed a type of migraine with the aura component as the first clinical symptom. Case Report: A 55-year-old woman presented with a migraine and reported having phosphenes in recent years. Head Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans were performed; these showed an extensive hypodense and hypointense formation located in the left parieto-occipital region. This formation was implanted in the tentorium region, with a prevailingly adipose-type signal intensity. The patient underwent an occipital craniotomy with the total removal of the lesion. The histological examination indicated a lipomatous metaplastic meningioma. Conclusion: We reported the first case of a lipomatous meningioma presenting with a migraine with a visual aura. Seizures and headaches can be included as possible symptoms. According to the current literature, lipomatous meningiomas affect women more commonly than men. The patient of our reported case presented visual disturbances in the form of a visual aura, which occurred 10 years before finding the meningioma, and surgery dramatically improved the symptoms and quality of life. |
| first_indexed | 2024-03-09T22:11:23Z |
| format | Article |
| id | doaj.art-6f263ba64a304612a925fcfaafa8ecdd |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T22:11:23Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-6f263ba64a304612a925fcfaafa8ecdd2023-11-23T19:30:50ZengMDPI AGDiagnostics2075-44182022-02-0112236510.3390/diagnostics12020365Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case ReportPierfrancesco Lapolla0Placido Bruzzaniti1Giuseppa Zancana2Antonella Stoppacciaro3Michela Relucenti4Rui Chen5Xiaobo Li6Andrea Mingoli7Alessandro Frati8Pietro Familiari9Nuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UKDivision of Neurosurgery, Department of Human Neurosciences, Policlinico Umberto I, Sapienza, University of Rome, 00185 Rome, ItalyDivision of Neurosurgery, Department of Human Neurosciences, Policlinico Umberto I, Sapienza, University of Rome, 00185 Rome, ItalyDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Environmental Medicine and Toxicology, Southeast University, Nanjing 211189, ChinaDepartment of Environmental Medicine and Toxicology, Southeast University, Nanjing 211189, ChinaDepartment of Surgery “Pietro Valdoni”, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Neurosurgery, IRCCS Neuromed, 86077 Pozzilli, ItalyDivision of Neurosurgery, Department of Human Neurosciences, Policlinico Umberto I, Sapienza, University of Rome, 00185 Rome, ItalyBackground/Aim: Lipomatous meningioma is a rare type of meningioma that is formed as the result of an accumulation of lipids inside the cell due to metabolic activity dysregulation. It differs from other types of meningiomas in its radiological and immunohistochemical characteristics. We report a rare case of a patient treated in our department for this particular type of meningioma who developed a type of migraine with the aura component as the first clinical symptom. Case Report: A 55-year-old woman presented with a migraine and reported having phosphenes in recent years. Head Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans were performed; these showed an extensive hypodense and hypointense formation located in the left parieto-occipital region. This formation was implanted in the tentorium region, with a prevailingly adipose-type signal intensity. The patient underwent an occipital craniotomy with the total removal of the lesion. The histological examination indicated a lipomatous metaplastic meningioma. Conclusion: We reported the first case of a lipomatous meningioma presenting with a migraine with a visual aura. Seizures and headaches can be included as possible symptoms. According to the current literature, lipomatous meningiomas affect women more commonly than men. The patient of our reported case presented visual disturbances in the form of a visual aura, which occurred 10 years before finding the meningioma, and surgery dramatically improved the symptoms and quality of life.https://www.mdpi.com/2075-4418/12/2/365migrainemeningiomaimagingseizureheadachelipomatous meningiomas |
| spellingShingle | Pierfrancesco Lapolla Placido Bruzzaniti Giuseppa Zancana Antonella Stoppacciaro Michela Relucenti Rui Chen Xiaobo Li Andrea Mingoli Alessandro Frati Pietro Familiari Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report Diagnostics migraine meningioma imaging seizure headache lipomatous meningiomas |
| title | Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report |
| title_full | Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report |
| title_fullStr | Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report |
| title_full_unstemmed | Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report |
| title_short | Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report |
| title_sort | visual aura secondary to supratentorial lipomatous meningioma a rare case report |
| topic | migraine meningioma imaging seizure headache lipomatous meningiomas |
| url | https://www.mdpi.com/2075-4418/12/2/365 |
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