Lymphoplasmacyte-Rich Meningioma of the Third Ventricle: Case Report
Arq. bras. neurocir; 39 (2), 2020
Publication year: 2020
Introduction Meningiomas are the most common primary intracranial tumors,
accounting for up to 35% of the neoplasms in this category. Approximately 10–20%
of these neoplasms are histologically atypical, and the lymphoplasmacyte-rich meningioma
(LPM) corresponds to a very rare subtype of meningioma that is characterized
histopathologically by massive infiltrates of inflammatory cells. The case described in
the present study is the sixth case of an intraventricular LPM found in the literature and
the first case considering the location in the third ventricle.
Case Description A 21-year-old male without previous comorbidities sought medical
attention due to visual impairment (complaining of intermittent visual blur) for
2 months. A magnetic resonance imaging of the brain confirmed the presence of a
well-delimited solid mass in the third ventricle of 3.0 2.3 cmwith a cystic component
that extended itself inferiorly and distorted the visual pathway anatomy. Neurosurgeons
decided to access the lesion using an interhemispheric transcallosal approach
with a transforaminal access, and the lesion was resected completely. The patient has
an ambulatorial endocrinological follow-up and is neurologically stable 6 months after
the procedure. No new visual deficits were noted.
Conclusion Lymphoplasmacyte-rich meningioma is a very rare intracranial tumor,
and the involvement of the third ventricle make this case unique.