Large tentorium meningioma causing chiari malformation type-1 with syringomalia with complete resolution of syrinx and chiari after surgical excision: rare case report with review of literature

Open access

Abstract

A 35-year-old female was admitted with a 3-year history of headache, gait disturbance and vertigo on & off and one year history of nasal regurgitation. Magnetic resonance imaging demonstrated a large tentorium meningioma left sided and syringomyelia in the upper cervical cord associated with caudal displacement of the cerebellar tonsil (chiari type -1 malformation). Herniation of the cerebellar tonsil and distortion of the brain stem had probably caused disturbance of cerebrospinal fluid flow which combined with obstruction of the spinal canal, caused the syrinx. Complete excision of the tumor resulted in symptomatic improvement of these symptoms with complete resolution of syrinx & chiari.

1. Aboulker J: La syringomy & eacute;leiet les liquides intrachidiens. Neurochirurgie1979; 25 (Suppl 1): 1-144.

2. Anegawa S, Hayashi T, Torigoe R, Iwaisako K, Higashioka H. Cerebellopontine angle meningioma causing asymptomatic syringomyelia--case report. Neurol Med Chir(Tokyo)1997 Aug;37(8):624-626

3. Aubin ML, Vignad J, Jardin C, Bar D: Computed tomography in 75 clinical cases of syringomyelia. AJNR1981; 2: 199-204.

4. Ball MJ, Dayan AD: Pathogenesis of syringomyelia. Lancet1972; 2: 799-801.

5. Barnett HJM, Foster JB, Hudgson P (eds): Syringomyelia. Major Problems in Neurology, vol 1. London, WB Saunders, 1973, pp 295-296

6. De Reuck J, Alva J, Roels H, Vander Eecken H: Relation between syringomyelia and von Hippel-Lindau's disease. Eur Neurol 1974; 12: 116-127.

7. Fukui K, Kito A, Iguchi I: Asymptomatic syringomyelia associated with cerebellopontine angle meningioma. Case report. Neurol Med Chir (Tokyo)1993; 33: 833-835.

8. Gardner WJ: Hydrodynamic mechanism of syringomyelia: Its relationship to myelocele. J Neurol Neurosurg Psychiat1965; 28: 247-259.

9. Hirata Y, Matsukado Y, Kaku M: Syringomyelia associated with a foramen magnum meningioma. Surg Neurol1985; 23: 291-294.

10. Jaiswal AK, Chandra PS. Cerebellopontine angle meningioma with acquired chiari and syringomyelia: neuroimage. Neurol India. 2001 Sep;49(3):323

11. Kan S, Fox AJ, Vinuela F, Barnett HJM, Peerless SJ: Delayed CT metrizamide enhancement of syrin gomyelia secondary to tumor. AJNR1983; 4: 73-78.

12. Kosary IZ, Braham J, Shaked I, Tadmor R: Cervical syringomyelia associated with occipital meningioma. Neurology (Minneap)1969; 19: 1127-1130.

13. Kumar C, Panagapoulos K, Kalbag RM, McAllister V: Cerebellar astrocytoma presenting as a syringomyelic syndrome. Surg Neurol 1987; 27: 187-190

14. Milhorat TH, Kotzen RM, Anzil AP: Stenosis of central canal of spinal cord in man: Incidence and pathological findings in 232 autopsy cases. J Neurosurg 1994;80: 716-722.

15. Oldfield EH, Muraszko K, Shawker TH, Patronas NJ:Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. J Neurosurg1994; 80:3-15.

16. Urasaki E, Soejima T, Yokota A, Matsuoka S:Association of asymptomatic syringomyelia with tentorial meningioma. No Shinkei Geka1989; 17: 985-989.

17. Welch K, Shillito J, Strand R, Fisher EG, Winston KR: Chiari I & ldquo;malformations & rdqaucqou; & irmedd asdhi;saonr der? JNeurosurg1981; 55: 604-609

18. Williams B: A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain1978; 101: 223-250

19. Williams B: On the pathogenesis of syringomyelia: A review. J R Soc Med 1980;73: 798-806.

20. Williams B, Timperley WR: Three cases of communicating syringomyelia secondary to midbrain gliomas. J Neurol Neurosurg Psychiatry1977; 40: 80-88

Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 158 89 5
PDF Downloads 69 49 4