Meningioangiomatosis

Other tumors

General description

Meningioangiomatosis is a rare, benign hamartomatous lesion of the leptinges and underlying cerebral cortex that most often presents in children and young adults, with a male predominance and frequent seizure onset.

Epidemiologically, meningioangiomatosis occurs sporadically in approximately 75% of cases and is associated with neurofibromatosis type 2 in the remaining 25%. Sporadic cases predominantly present with seizures or headaches in individuals under 20 years of age, with a mean age of around 12–28 years; males are affected more often than females.

References

  1. Kashlan, Osama N., et al. "Meningioangiomatosis: a case report and literature review emphasizing diverse appearance on different imaging modalities." Case Reports in Neurological Medicine 2011.1 (2011): 361203.

Cortical and leptomeningeal lesion

Anatomical regions
  • Cerebrum
    Frontal lobe
    Cerebral cortex
  • Cerebrum
    Temporal lobe
    Cerebral cortex
  • Leptomenix
    Cerebral leptomenix
T1WI
Hypointensity
CE T1WI
Enhancement
T2WI
Hyperintensity
FLAIR
Hyperintensity
Morphology
Well-defined border
Lobulated border
Linear
Nodular
Plain CT
Calcified attenuation
T1WI
Hypointensity
T2WI
Hypointensity
FLAIR
Hypointensity
T2*WI
Hypointensity
SWI
Hypointensity

Anatomically, meningioangiomatosis is predominantly intra-axial with cortical predilection, although it crosses the pia mater to involve leptomeninges.

Lesion margins are often well-defined with nodular or gyriform configuration but can be ill-defined or lobulated, especially when extensive infiltration of cortex and subcortical white matter occurs.