Pineal chordoid meningioma complicated by repetitive hemorrhage during pregnancy: Case report and literature review

Kyung Hwa Lee, Rohan R. Lall, James P. Chandler, Eileen H. Bigio, Qinwen Mao*

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Chordoid meningioma is an uncommon variant of meningioma, and is very rarely found in the pineal region. We report a case of pineal region chordoid meningioma occurring in a young woman complicated by repetitive hemorrhages in the setting of pregnancy. A 23-year-old woman, 28 weeks pregnant, was transferred to our hospital for further management of a multi-septated, hemorrhagic pineal region mass and hydrocephalus. MRI revealed a heterogeneous T2-hyperintense lesion measuring 1.7×1.7cm in the pineal gland. Resection of the tumor through an occipital transtentorial approach was performed. Histopathologic examination of the lesion confirmed the diagnosis of chordoid meningioma demonstrating cords and clusters of eosinophilic cells with rare cytoplasmic vacuolation arranged in a mucinous stroma. Additionally, there was abundant lymphoplasmacytic infiltration within the tumor. The details of this case are presented with a review of the literature.

Original languageEnglish (US)
Pages (from-to)192-198
Number of pages7
JournalNeuropathology
Volume33
Issue number2
DOIs
StatePublished - Apr 1 2013

Keywords

  • Hemorrhage
  • Meningioma
  • Pineal gland
  • Pregnancy

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Pineal chordoid meningioma complicated by repetitive hemorrhage during pregnancy: Case report and literature review'. Together they form a unique fingerprint.

  • Cite this