{"id":"996ff72c-7b7e-44ef-9195-6cd4127511ed","slug":"fourth-ventricle-meningioma-with-cervical-extension-an-unusual-entity","title":"Fourth ventricle meningioma with cervical extension: An unusual entity","authors":["Ankit S. Shah","Robin Gupta","Ghanshyam Singhal","Anita Jagetia","Daljit Singh"],"abstract":"Background: Meningiomas occurring primarily in the fourth ventricle are rare entities, often believed to originate from the choroid plexus or tela choroidae. Clear-cell meningiomas, while more commonly found in the cerebellopontine angle and spine, can also present in unusual locations such as the brainstem and fourth ventricle. These tumors are known for their aggressive behavior and poor prognosis. Summary: A 35-year-old female presented with headaches, gait disturbances, and vertigo. Imaging revealed a homogeneous hyperdense lesion in the fourth ventricle with cervical extension, initially misdiagnosed as an ependymoma. Surgical intervention led to gross total excision, and histopathological analysis confirmed a diagnosis of clear-cell meningioma, WHO grade II. Conclusion: Preoperative diagnosis of meningiomas in the fourth ventricle can be challenging, necessitating consideration in differential diagnoses due to their distinct surgical and clinical implications. Long-term follow-up is recommended for patients diagnosed with clear-cell meningiomas due to their aggressive nature and high recurrence rates. Keywords: meningioma, fourth ventricle, clear-cell, surgery, cervical extension, histopathology, neurosurgery","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/996ff72c-7b7e-44ef-9195-6cd4127511ed/featured/hero-1782420848473.png","publishDate":"2018-11-28T00:00:00.000Z","doi":"10.4103/sni.sni_277_18","categories":["Unique Case Observations","Image Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/996ff72c-7b7e-44ef-9195-6cd4127511ed/pdf"}