Meningeoma e glioblastoma concomitantes: registro de um caso

Antunes, Apio Claudio Martins; Coutinho, Mario Ferreira; Coutinho, Ligia Maria Barbosa

doi:10.1590/S0004-282X1978000300012

Resumos

É relatado um caso com associação de glioblastoma heteromorfo e de meningioma meningotelial, cuja manifestação inicial foi crise convulsiva focal. Por ser infrequente a associação de neoplasias intracranianas, discute-se a forma de expressão clínica, as teorias referentes à presença concomitante de tais associações tumorais e, ainda, o valor do diagnóstico pré-operatório no estabelecimento da conduta cirúrgica e do prognóstico em tais ocasiões.

A case of coincidental glioblastoma and meningioma in which the first manifestation were focal convulsive fits is reported. As the association of intracranial tumors is infrenquent, their clinical ways of presentation and the theories on their origin are discussed, as well as the importance of the preoperative diagnosis for the surgical planning and prognosis.

Meningeoma e glioblastoma concomitantes: registro de um caso

Coincidental glioma and meningioma: a case report

Apio Claudio Martins Antunes^I; Mario Ferreira Coutinho^II; Ligia Maria Barbosa Coutinho^III

^INeurocirurgião. Serviço de Neurologia e Neurocirurgia Professor Mario Coutinho

^IINeurocirurgião chefe. Serviço de Neurologia e Neurocirurgia Professor Mario Coutinho

^IIIAuxiliar de Ensino do Departamento de Patologia na Faculdade Católica de Medicina de Porto Alegre

RESUMO

É relatado um caso com associação de glioblastoma heteromorfo e de meningioma meningotelial, cuja manifestação inicial foi crise convulsiva focal. Por ser infrequente a associação de neoplasias intracranianas, discute-se a forma de expressão clínica, as teorias referentes à presença concomitante de tais associações tumorais e, ainda, o valor do diagnóstico pré-operatório no estabelecimento da conduta cirúrgica e do prognóstico em tais ocasiões.

SUMMARY

A case of coincidental glioblastoma and meningioma in which the first manifestation were focal convulsive fits is reported. As the association of intracranial tumors is infrenquent, their clinical ways of presentation and the theories on their origin are discussed, as well as the importance of the preoperative diagnosis for the surgical planning and prognosis.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Trabalho do Serviço de Neurologia e Neurocirurgia Professor Mario Coutinho

Serviço de Neurologia e Neurocirurgia Professor Mario Coutinho - Avenida Independência 270 - 90000 Porto Alegre, RS - Brasil

1. ALEXANDER, W. S. - Multiple primary intracranial tumors: meningioma associater with a glioma: report of a case. J. Neuropath. Exp. Neurol. 7:81, 1948.
2. AMBROSE. J.; GOODING, M. R. & RICHARDSON, A. E. - Sodium iothalamate as an aid to diagnosis of intracranial lesions by computerised transverse axial scanning. Lancet 11:669, 1975.
3. ARIETI, S. - Multiple meningioma and meningiomas associated with other brain tumors. J. Neuropathol. Exp. Neurol. 3:26, 1944.
4. CHATTY, E. M. & EARLE. K. M. - Medulloblastoma: a report of 201 cases with emphasis on the relationship of histologic variants to survival. Cancer 28:977, 1971.
5. COURVILLE, C. B. - Multiple primary tumors of the brain: review of the literature and report of twenty-one cases. Am. J. Cancer 26:703, 1936.
6. CUSHING, H. & EISENHARDT, L. - Meningiomas: Their Classification, Regional Behavior, Life History and Surgical Results. Charles C. Thomas, Springfield (Illinois), 1938, pag., 506.
7. FEIRING, B. H. & DAVIDOFF. L. M. - Two tumors (meningioma and glioblastoma multiforme) in one patient. J. Neurosurg. 4:282,1947.
8. FISHER R. G. - Intracranial meningioma followed by a malignant glioma. J. Neurosurg. 29:83, 1968.
9. GASS, H. & VAN VAGENEN, W. P. - Meningioma and oligodendroglioma adjacent in the brain: a case report. J. Neurosurg. 7:440, I960.
10. HOSOI, K. - Meningiomas, with special reference to the multiple intracranial type. Am. J. Path. 6:245, 1930.
11. MARRA, A.; RAMPONI, G. & GRIMALDI, C. - Simultaneous ocurrence of right supratentorial meningioma and glioblastoma multiforme: a case report. Acta Neurochir (Wien) 36:83, 1977.
12. MYERSON, P. G. - Multiple tumors of diverse origin. J. Neuropathol. Exp. Neurol. 1:406, 1942.
13. NAGASHIMA, C; NAKASHIO. K. & FUJINO. T. - Meningioma and astrocytoma adjacent to the brain. J. Neurosurg. 20:995, 1963.
14. O'CONNEL, J.. E. A. - Intracranial meningiomata associated with other tumors involving the central nervous system. Brit. J. Surg. 48:373, 1961.
15. RODRIGUEZ, H. A. & BERTHRONG, M. - Multiple primary intracranial tumors in von Recklinghausen's neurofibromatosis. Arch. Neurol. (Chicago) 14:467, 1966.
16. RUBINSTEIN, L. J. - Tumors of the Central Nervous System. Armed Forces Institute of Pathology (Washington). 1972. pag. 56 e 172.
17. RUSSELL, D. S. & RUBINSTEIN. L. S. - The Pathology of Tumors of the Nervous System. Edward Arnold, London, 1971. pag. 55 e 155.
18. SACKETT, J. F.; STENWIG J. T. & SONGSIRTKUL. P. - Meningeal and glial tumors in combination. Neuroradiology 7:153, 1974.
19. STRONG, A. J.: SYMON. L.: MAC GREGOR. B. J. L. A O'NEILL, B. P. - Coincidental meningioma and glioma: report of two cases. J. Neurosurg 45:456, 1976.

Datas de Publicação

Publicação nesta coleção
28 Ago 2012
Data do Fascículo
Set 1978

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

[1] 1. ALEXANDER, W. S. - Multiple primary intracranial tumors: meningioma associater with a glioma: report of a case. J. Neuropath. Exp. Neurol. 7:81, 1948.

[2] 2. AMBROSE. J.; GOODING, M. R. & RICHARDSON, A. E. - Sodium iothalamate as an aid to diagnosis of intracranial lesions by computerised transverse axial scanning. Lancet 11:669, 1975.

[3] 3. ARIETI, S. - Multiple meningioma and meningiomas associated with other brain tumors. J. Neuropathol. Exp. Neurol. 3:26, 1944.

[4] 4. CHATTY, E. M. & EARLE. K. M. - Medulloblastoma: a report of 201 cases with emphasis on the relationship of histologic variants to survival. Cancer 28:977, 1971.

[5] 5. COURVILLE, C. B. - Multiple primary tumors of the brain: review of the literature and report of twenty-one cases. Am. J. Cancer 26:703, 1936.

[6] 6. CUSHING, H. & EISENHARDT, L. - Meningiomas: Their Classification, Regional Behavior, Life History and Surgical Results. Charles C. Thomas, Springfield (Illinois), 1938, pag., 506.

[7] 7. FEIRING, B. H. & DAVIDOFF. L. M. - Two tumors (meningioma and glioblastoma multiforme) in one patient. J. Neurosurg. 4:282,1947.

[8] 8. FISHER R. G. - Intracranial meningioma followed by a malignant glioma. J. Neurosurg. 29:83, 1968.

[9] 9. GASS, H. & VAN VAGENEN, W. P. - Meningioma and oligodendroglioma adjacent in the brain: a case report. J. Neurosurg. 7:440, I960.

[10] 10. HOSOI, K. - Meningiomas, with special reference to the multiple intracranial type. Am. J. Path. 6:245, 1930.

[11] 11. MARRA, A.; RAMPONI, G. & GRIMALDI, C. - Simultaneous ocurrence of right supratentorial meningioma and glioblastoma multiforme: a case report. Acta Neurochir (Wien) 36:83, 1977.

[12] 12. MYERSON, P. G. - Multiple tumors of diverse origin. J. Neuropathol. Exp. Neurol. 1:406, 1942.

[13] 13. NAGASHIMA, C; NAKASHIO. K. & FUJINO. T. - Meningioma and astrocytoma adjacent to the brain. J. Neurosurg. 20:995, 1963.

[14] 14. O'CONNEL, J.. E. A. - Intracranial meningiomata associated with other tumors involving the central nervous system. Brit. J. Surg. 48:373, 1961.

[15] 15. RODRIGUEZ, H. A. & BERTHRONG, M. - Multiple primary intracranial tumors in von Recklinghausen's neurofibromatosis. Arch. Neurol. (Chicago) 14:467, 1966.

[16] 16. RUBINSTEIN, L. J. - Tumors of the Central Nervous System. Armed Forces Institute of Pathology (Washington). 1972. pag. 56 e 172.

[17] 17. RUSSELL, D. S. & RUBINSTEIN. L. S. - The Pathology of Tumors of the Nervous System. Edward Arnold, London, 1971. pag. 55 e 155.

[18] 18. SACKETT, J. F.; STENWIG J. T. & SONGSIRTKUL. P. - Meningeal and glial tumors in combination. Neuroradiology 7:153, 1974.

[19] 19. STRONG, A. J.: SYMON. L.: MAC GREGOR. B. J. L. A O'NEILL, B. P. - Coincidental meningioma and glioma: report of two cases. J. Neurosurg 45:456, 1976.