Nerve.  2024 Apr;10(1):45-50. 10.21129/nerve.2024.00507.

Glioblastoma Presenting with the Radiological Features of a Meningioma: A Case Report and Literature Review

• Song SJ
• Lee JH
• Ryu MH
• Lee MS
• Suh SJ
• Lee YS
• Cho SH

• KMID: 2554762
• DOI: http://doi.org/10.21129/nerve.2024.00507

Abstract

Glioblastomas, which are the most common primary malignant brain tumors in adults, occasionally exhibit radiological features similar to those of other diseases. However, instances of them mimicking meningiomas are rare. This article describes a rare case of a glioblastoma presenting with radiological features similar to those of a meningioma. A 55-year-old man was admitted following 2 months of gait disturbance, mild dysarthria, and dizziness. Magnetic resonance imaging suggested an extra-axial tumor in the interhemispheric fissure exhibiting a cerebrospinal fluid cleft sign, which was indicative of a meningioma. Bifrontal craniotomy for tumor resection revealed a highly vascularized, yellowish-gray friable mass within the interhemispheric fissure. The pathological diagnosis was glioblastoma. The patient’s symptoms improved following treatment with whole-brain radiotherapy and temozolomide chemotherapy, and his condition was stable during a 5-month follow-up period. Glioblastomas may present with radiological features similar to those of meningiomas, making it challenging for physicians to establish an accurate diagnosis and effective treatment plan.

Keyword

Glioblastoma; Magnetic resonance imaging; Meningioma