Meningioangiomatosis

Last revised by Khalid Alhusseiny on 15 May 2023

Citation, DOI, disclosures and article data

Citation:

Gaillard F, Alhusseiny K, Glick Y, et al. Meningioangiomatosis. Reference article, Radiopaedia.org (Accessed on 13 May 2024) https://doi.org/10.53347/rID-1658

DOI:

https://doi.org/10.53347/rID-1658

Permalink:

https://radiopaedia.org/articles/1658

rID:

1658

Article created:

2 May 2008, Frank Gaillard ◉ ◈

Disclosures:

At the time the article was created Frank Gaillard had no recorded disclosures.

View Frank Gaillard's current disclosures

Last revised:

15 May 2023, Khalid Alhusseiny ◉

Disclosures:

At the time the article was last revised Khalid Alhusseiny had no financial relationships to ineligible companies to disclose.

View Khalid Alhusseiny's current disclosures

Revisions:

7 times, by 7 contributors - see full revision history and disclosures

Systems:

Central Nervous System

Tags:

neoplasm, seizures

Meningioangiomatosis is a rare meningovascular hamartomatous plaque-like or mass-like cortical lesion extending to the overlying leptomeninges (crosses the boundary between intra- and extra-axial lesions). Given its frequent cortical location, often patients present with seizures.

Epidemiology

Meningioangiomatosis is either sporadic or associated with neurofibromatosis type 2. Presenting signs are intractable seizures (~80%) and headache. The symptoms manifest at a young age (i.e. under 20 years) ⁵. Seizures have a male predilection.

Radiographic features

These are slow growing solitary or multiple cortical lesions with nodular or gyriform configuration, variable calcification, and cystic degeneration. These show minimal or no contrast enhancement.

90% located in the cortex, 10% located in the leptomeninges
32% of lesions are frontal, 31% are temporal ⁵

References

1. Zimmerman RD, Grossman RI. Neuroradiology. Mosby. (2010) ISBN:0323045219. Read it at Google Books - Find it at Amazon
2. Cui H, Shi H, Chen X et-al. Clinicopathological features of meningioangiomatosis associated with meningioma: a case report with literature review. Case Rep Oncol Med. 2012;2012: 296286. doi:10.1155/2012/296286 - Free text at pubmed - Pubmed citation
3. Park MS, Suh DC, Choi WS et-al. Multifocal meningioangiomatosis: a report of two cases. AJNR Am J Neuroradiol. 1999;20 (4): 677-80. AJNR Am J Neuroradiol (full text) - Pubmed citation
4. Tomkinson C, Lu JQ. Meningioangiomatosis: A review of the variable manifestations and complex pathophysiology. (2018) Journal of the neurological sciences. 392: 130-136. doi:10.1016/j.jns.2018.07.018 - Pubmed
5. Roux A, Zanello M, Mancusi RL, Still MEH, Nascimento FA, Tauziede-Espariat A, Huberfeld G, Zah-Bi G, Dezamis E, Meder JF, Bourgeois M, Parraga E, Chretien F, Varlet P, Oppenheim C, Lechapt-Zalcman E, Pallud J. Meningioangiomatosis: Multimodal Analysis and Insights From a Systematic Review. (2021) Neurology. 96 (6): 274-286. doi:10.1212/WNL.0000000000011372 - Pubmed
6. Anand R, Garling RJ, Poulik J, Sabolich M, Goodrich DJ, Sood S, Harris CA, Haridas A. Sporadic Meningioangiomatosis: A Series of Three Pediatric Cases. (2017) Cureus. 9 (9): e1640. doi:10.7759/cureus.1640 - Pubmed
7. Oyedokun K, Agabna MM, Israni A, du Plessis D. Meningioangiomatosis: an uncommon cause of focal epilepsy with characteristic neuroimaging and neuropathology. (2021) BMJ case reports. doi:10.1136/bcr-2021-242953 - Pubmed
8. Nascimento FA, Kiehl TR, Tai PC, Valiante TA, Krings T. Meningioangiomatosis: A Disease With Many Radiological Faces. (2016) The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques. 43 (6): 847-849. doi:10.1017/cjn.2016.292 - Pubmed