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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2024; 85(04): e179-e183
DOI: 10.1055/a-2466-7362
Case Report

A Rare Case of Dual Primary Supratentorial Glioma and Infratentorial Meningioma

Chi-Man Yip
1   Division of Neurosurgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
,
Chia Ing Jan
2   Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
3   School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan
4   School of Medicine, Chung Shan Medical University, Taichung, Taiwan
5   Department of Nursing, School of Nursing, Mei-Ho University Ping-Tung, Taiwan
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Abstract

Introduction Gliomas and meningiomas are two common primary brain tumors, but occurring simultaneously in the same patient is a rare entity. The authors would like to report a case of coexistence of a superior parietal lobule diffuse glioma, IDH-wild type, histologically CNS WHO grade 3 and a left posterior fossa transitional meningioma, WHO grade 1; both the tumors were successfully removed in one-stage operation.

Case Presentation A 68-year-old female having hypertension, who presented to us with the chief complaints of involuntary shaking of her left lower limb associated with her left upper limb tingle, dizziness, and neck soreness. She was found to have a lesion in her right parietal region and a tumor in her left cerebellar region. After detailed discussion with the patient and thorough preoperative evaluation, the authors performed a right parietal craniotomy and a left retrosigmoid approach in one-stage operation to remove both the tumors, which were proven to be of two distinct histological identities.

Conclusion The management for two tumors located far apart needs a case-by-case evaluation. An important aspect while dealing with such cases is to decide which tumor needs to be operated first or whether both lesions can be operated at the same time with one-stage operation.

Keywords

dural primary brain tumors - one-stage operation - infratentorial meningioma - supratentorial glioma


Publication History

Received: 12 August 2024

Accepted: 11 November 2024

Article published online:
05 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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