Meningeoma do ventrículo lateral

Silva, José Alberto G. da; Chaves, Ely; Silva, Cláudio Emanuel G. da

doi:10.1590/S0004-282X1973000100009

Resumos

É relatado um caso de meningeoma intraventricular, ocorrendo no trígono ventricular direito, em paciente do sexo feminino, com 27 anos de idade, e que foi totalmente ressecado em dois tempos cirúrgicos. O tumor pesou 400 gramas. Histologicamente, ao lado de áreas características de meningeoma endoteliomatoso, foram observados marcado pleomorfismo celular, com núcleos bizarros, e células sinciciais neoplásicas.

A case of intraventricular meningeoma in a 27-year-old white woman located in the trigone of the right lateral ventricle is reported. The tumor was parcialy excised in one first surgical stage, its entire removal being performed during a second operation. It weighed 400 grams. No evidence of invasion of the brain was observed. Histologically, besides the characteristic pattern of the endotheliomatous meningeoma, there were observed hypercellular areas with prominent nuclear pleomorphism, hyperchromatism and macronucleoli. These atypical areas were quite suggestive of malignancy. However, evidence of unequivocal invasion of adjacent brain parenchyma and metastases were not observed.

Meningeoma do ventrículo lateral

Meningeoma of the lateral ventricle: a case report

José Alberto G. da Silva^I; Ely Chaves^II; Cláudio Emanuel G. da Silva^III

^IFaculdade de Medicina da Universidade da Paraíba: Professor contratado de Clínica Neurológica e Neurocirúrgica

^IIFaculdade de Medicina da Universidade da Paraíba: Professor de Anatomia Patológica

^IIIFaculdade de Medicina da Universidade da Paraíba: Assistente de Clínica Neurológica e Neurocirúrgica

RESUMO

É relatado um caso de meningeoma intraventricular, ocorrendo no trígono ventricular direito, em paciente do sexo feminino, com 27 anos de idade, e que foi totalmente ressecado em dois tempos cirúrgicos. O tumor pesou 400 gramas. Histologicamente, ao lado de áreas características de meningeoma endoteliomatoso, foram observados marcado pleomorfismo celular, com núcleos bizarros, e células sinciciais neoplásicas.

SUMMARY

A case of intraventricular meningeoma in a 27-year-old white woman located in the trigone of the right lateral ventricle is reported. The tumor was parcialy excised in one first surgical stage, its entire removal being performed during a second operation. It weighed 400 grams. No evidence of invasion of the brain was observed. Histologically, besides the characteristic pattern of the endotheliomatous meningeoma, there were observed hypercellular areas with prominent nuclear pleomorphism, hyperchromatism and macronucleoli. These atypical areas were quite suggestive of malignancy. However, evidence of unequivocal invasion of adjacent brain parenchyma and metastases were not observed.

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Clínica Neurológica e Neurocirúrgica Faculdade de Medicina, Universidade da Paraíba 58000 João Pessoa, PB Brasil.

1. ABBOTT, K. H. & COURVILLE, C. B. Intraventricular meningiomas. Review of literature and report of two cases. Bull. Los Angeles neurol. Soc. 7:12, 1942.
2. BUSCH, E. Meningiomas of the lateral ventricles of the brain. Acta chir. Scand. 82:282, 1939.
3. CHRISTOPHE, J.; DAVID, M. & COCHEMÉ, R. Mèningiome intraventriculaire du carrefour temporo-occipital gauche. Ablation aprés incision du lobe occipital gauche. Rev. neurol. (Paris) 71:425, 1939.
4. CUSHING, H. & EISENHARDT, L. Meningiomas. Hafner Publishing Co., New York, 1962.
5. DREIFUS, W. Ueber Endotheliom des Plexus chorioideus. Beitr. path. Anat. 71:667, 1923.
6. GASSEL, M. M. & DAVIES, H. Meningiomas in the lateral ventricles. Brain 84:605, 1961.
7. GIBBS, N. M. Meningioma with extracranial metastasis. J. Path. Bact. 76: 285, 1958.
8. GORDON, A. & MALONEY, A. F. J. A case of metastasizing meningioma. J. Neurol. Neurosurg. Psychiat. 28:159, 1965.
9. JUROW, H. N. Psammomatous dural endothelioma (meningioma) with pulmonary metastasis. Arch. Path. 32:222, 1941.
10. LEY, R. A. Meningiome intraventriculaire. J. Beige Neurol. Psychiat. 36:612, 1936.
11. LYERLY, J. G. & JACKSONVILLE, F. Meningioma of the lateral ventricle. Arch. Neurol. Psychiat. (Chicago) 40:997, 1938.
12. MEDLINE, N. M.; KAY, R. W. W. & ROBERTSON, D. M. Intraventricular meningioma. Discussion of malignant features. Arch. Path. 85:562, 1968.
13. NOTO, T. A. & GYORI, E. Malignant metastasizing meningioma. Arch. Path. 85:562, 1968.
14. OLIVECRONA, H. The surgical treatment of intracranial tumors. In H. Olivecrona & W. Tönnis Handbuch der Neurochirurgie. Springer-Verlag, Berlin, 1967.
15. RINGSTED, J. Meningeal tumors with extracranial metastases. Acta path. microbiol. Scand. 43:9, 1958.
16. RUSSEL, D. S. Meningeal tumors. J. clin. Path. 3:191, 1950.
17. SIMPSON, D. The recurrence of intracranial meningiomas after surgical treatment. J. Neurol. Neurosurg. Psychiat. 20:22, 1957.
18. STRANG, R. R.; TOVI, D. & NORDENSTAM, H. Meningioma with intracerebral and visceral metastases. J. Neurosurg. 21:1098, 1964.
19. TENG, P. & PAPATHEODOROU, C. Suprachiasmal and intraventricular meningioma in a four-year-old child. J. Neurosurg. 20:174, 1963.
20. TUKANOWICZ, S. A. & GRANT. F. C. Meningiomas of the lateral ventricles of the brain. J. Neuropath, exp. Neurol. 17:367, 1958.
21. TURNER, C. A.; GRAIG, W. M. & KERNOHAN, J. W. Malignant meningiomas. Surgery (St. Louis) 11:81, 1942.
22. WILSON, D. H.; GARDNER, W. J. & McCORMACK, L. J. Life history and treatment of meningiomas within the lateral ventricles. Surg. Gynec. Obstet. 112:299, 1961.
23. ZÜLCH, K. J. Biologie und pathologie der Hirngeschwuelste. In H. Olivecrona e W. Tönnis Handbuch der Neurochirurgie. Springer Verlag, Berlin, 1956.

Datas de Publicação

Publicação nesta coleção
16 Abr 2013
Data do Fascículo
Mar 1973

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ABBOTT, K. H. & COURVILLE, C. B. Intraventricular meningiomas. Review of literature and report of two cases. Bull. Los Angeles neurol. Soc. 7:12, 1942.

[2] 2. BUSCH, E. Meningiomas of the lateral ventricles of the brain. Acta chir. Scand. 82:282, 1939.

[3] 3. CHRISTOPHE, J.; DAVID, M. & COCHEMÉ, R. Mèningiome intraventriculaire du carrefour temporo-occipital gauche. Ablation aprés incision du lobe occipital gauche. Rev. neurol. (Paris) 71:425, 1939.

[4] 4. CUSHING, H. & EISENHARDT, L. Meningiomas. Hafner Publishing Co., New York, 1962.

[5] 5. DREIFUS, W. Ueber Endotheliom des Plexus chorioideus. Beitr. path. Anat. 71:667, 1923.

[6] 6. GASSEL, M. M. & DAVIES, H. Meningiomas in the lateral ventricles. Brain 84:605, 1961.

[7] 7. GIBBS, N. M. Meningioma with extracranial metastasis. J. Path. Bact. 76: 285, 1958.

[8] 8. GORDON, A. & MALONEY, A. F. J. A case of metastasizing meningioma. J. Neurol. Neurosurg. Psychiat. 28:159, 1965.

[9] 9. JUROW, H. N. Psammomatous dural endothelioma (meningioma) with pulmonary metastasis. Arch. Path. 32:222, 1941.

[10] 10. LEY, R. A. Meningiome intraventriculaire. J. Beige Neurol. Psychiat. 36:612, 1936.

[11] 11. LYERLY, J. G. & JACKSONVILLE, F. Meningioma of the lateral ventricle. Arch. Neurol. Psychiat. (Chicago) 40:997, 1938.

[12] 12. MEDLINE, N. M.; KAY, R. W. W. & ROBERTSON, D. M. Intraventricular meningioma. Discussion of malignant features. Arch. Path. 85:562, 1968.

[13] 13. NOTO, T. A. & GYORI, E. Malignant metastasizing meningioma. Arch. Path. 85:562, 1968.

[14] 14. OLIVECRONA, H. The surgical treatment of intracranial tumors. In H. Olivecrona & W. Tönnis Handbuch der Neurochirurgie. Springer-Verlag, Berlin, 1967.

[15] 15. RINGSTED, J. Meningeal tumors with extracranial metastases. Acta path. microbiol. Scand. 43:9, 1958.

[16] 16. RUSSEL, D. S. Meningeal tumors. J. clin. Path. 3:191, 1950.

[17] 17. SIMPSON, D. The recurrence of intracranial meningiomas after surgical treatment. J. Neurol. Neurosurg. Psychiat. 20:22, 1957.

[18] 18. STRANG, R. R.; TOVI, D. & NORDENSTAM, H. Meningioma with intracerebral and visceral metastases. J. Neurosurg. 21:1098, 1964.

[19] 19. TENG, P. & PAPATHEODOROU, C. Suprachiasmal and intraventricular meningioma in a four-year-old child. J. Neurosurg. 20:174, 1963.

[20] 20. TUKANOWICZ, S. A. & GRANT. F. C. Meningiomas of the lateral ventricles of the brain. J. Neuropath, exp. Neurol. 17:367, 1958.

[21] 21. TURNER, C. A.; GRAIG, W. M. & KERNOHAN, J. W. Malignant meningiomas. Surgery (St. Louis) 11:81, 1942.

[22] 22. WILSON, D. H.; GARDNER, W. J. & McCORMACK, L. J. Life history and treatment of meningiomas within the lateral ventricles. Surg. Gynec. Obstet. 112:299, 1961.

[23] 23. ZÜLCH, K. J. Biologie und pathologie der Hirngeschwuelste. In H. Olivecrona e W. Tönnis Handbuch der Neurochirurgie. Springer Verlag, Berlin, 1956.