@article{Oliveira e Silva_Oliveira e Silva_Silva_Lima_Kitamura_2021, title={Hemorrhagic angiomatous meningioma: what we know. Case report and review of the literature}, volume={3}, url={https://jornalmemorialdamedicina.com/index.php/jmm/article/view/41}, DOI={10.37085/jmmv3.n1.2021.pp.18-22}, abstractNote={<p>Meningiomas are the most common benign intracranial tumors and rarely present with spontaneous bleeding. We report on a case of hemorrhagic angiomatous meningioma that was treated surgically (the first case described in Brazil) and present a review of the literature. The patient was<br />a 38-year-old female with progressive headache and vomiting. She also had a previous history of<br />chronic headaches and refractory depression. Imaging studies showed a large left frontal extra-axial<br />tumor, with intense contrast enhancement and hyperperfusion/hypervascularization. There was an<br />extensive intratumoral and pericapsular hemorrhagic region, with dilation of the middle meningeal<br />arteries and falx cerebri vessels. The lesion was compatible with hemorrhagic meningioma. The<br />patient underwent bifrontal craniotomy and tumor devascularization, followed by total resection.<br />Histopathological and immunohistochemical analyses led us to conclude that this was a case of angiomatous meningioma. Subsequently, the patient’s headaches and depression improved. No<br />residual or recurrent neoplastic lesion was observed during the follow-up.</p>}, number={1}, journal={Jornal Memorial da Medicina}, author={Oliveira e Silva, Marcelo Palmares and Oliveira e Silva, Vitor Palmares and Silva, Allan Victor Tavares da and Lima, Giovani Crestana Nogueira and Kitamura, Matheus Augusto Pinto}, year={2021}, month={set.}, pages={18–22} }