Coexistence of arteriovenous malformation and meningioma in a single patient: Systematic review and illustrative case |
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| Institution: | 1. Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94131, USA;2. Miami Neuroscience Institute, Baptist Health South Florida, Miami, FL 33176, USA;1. Institute of Neuroradiology, Charité, Universitary Medicine Berlin;2. Department of Neuroradiology, University Hospital of Cologne;3. Institute of Neuroradiology, Ludwig Maximillian University Munich;1. Department of Neurosurgery, Clinical Neurosciences Center, Clinical Neurosciences Center, University of Utah, USA;2. Section of Neurosurgery, University of Manitoba, Canada; Uniformed Services University, USA;1. Department of Neurosurgery, Austin Health, Melbourne, Victoria, Australia;2. Neurosurgery Department, Cabrini Health, Melbourne, Victoria, Australia;3. University of Melbourne, Parkville, Australia;4. Murdoch Children’s Research Institute, Melbourne, Victoria, Australia |
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| Abstract: | BackgroundThe coexistence of intracranial arteriovenous malformation (AVM) and meningioma in a single patient is seldom reported, so the clinical profile, optimal management, and outcomes of these patients are mostly unknown.MethodsWe performed a systematic review of the SCOPUS and PubMed databases for case reports and case series on patients with both intracranial AVMs and meningiomas. Data on demographics, clinical characteristics, surgical management, and outcomes were collected.ResultsA total of 18 cases were reported in the literature, including the present case. The mean age at presentation was 54 years (range of 15–70 years), with no gender predilection. Most of the meningiomas and AVMs were frontal in location, and more than half of the lesions were contiguous. The most common presenting symptoms were seizures (67%), headache (44%), and weakness (33%). Majority of the patients underwent single stage meningioma and AVM excision (44%), followed by staged meningioma excision then AVM excision (17%) and meningioma excision only (17%). In all, 94% (17/18) of the meningiomas were excised compared to 72% (13/18) of the AVMs. Outcomes were reported in 15 patients; 80% were favorable, but there were 2 deaths and 1 tumor recurrence after 5 years.ConclusionThe coexistence of an intracranial AVM with a meningioma is recognized but rarely reported in the literature. Individualized treatment should be employed in managing patients with concurrent lesions, and outcomes are generally favorable due to the benign nature of both these entities. |
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| Keywords: | Arteriovenous malformation Meningioma Concurrent lesions |
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