Work

Chordoid Meningioma: The Rarest Subtype of Grade II Meningioma

Year: 2024

Type: article

Abstract: Chordoid meningioma, a rare WHO grade II tumor, is known for its aggressive behavior and high recurrence rate. We report a case of a 44-year-old woman with progressive left-sided weakness, where imaging revealed a 3.0 cm lesion in the right sphenoidal wing with significant midline shift and edema. Following corticosteroid treatment, the patient underwent embolization and complete tumor resection, achieving full motor recovery. Pathology confirmed a chordoid meningioma. Gross total resection is vital to minimize the risk of recurrence, while subtotal resection is linked to higher recurrence, often with elevated MIB-1 scores. Adjuvant radiotherapy may be used in high-risk cases, though it carries a risk of malignant transformation. Early detection, complete resection, and close follow-up are key to optimal outcomes.

Source: Cureus

DOI: 10.7759/cureus.74084

Authors: Jose Valerio, Noe Santiago Rea, Jorge Zumaeta, Luis Rey Martinez

Institutions: Palmetto General Hospital, Hospital Base Guillermo Almenara Irigoyen

Language: English

Topic: Meningioma and schwannoma management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404536571