Article Text
Neurological picture
Infarction and shrinkage of a meningioma after extensive cosmetic surgery
Statistics from Altmetric.com
Spontaneous infarction in meningiomas causing acute symptoms is rare. Treating physicians should be aware of the phenomenon of spontaneous infarction in brain tumours after prolonged surgery, presumably related to hypotension or anaemia.
A 43 year old obese woman had MRI in 1998 for nondescript headache; it showed an incidental torcular meningioma (figure A). Because the lesion did not explain her symptoms, conservative management was elected. The patient underwent gastroplasty, proceeded to lose 36 kg, and then underwent circumferential abdominoplasty and rhytidectomy in early 1999. As part of her body-contouring surgery, she underwent mammary reduction, axillary excision, brachioplasty, and leg …