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Asian J Neurosurg. 2019 Jan-Mar;14(1):314-317. doi: 10.4103/ajns.AJNS_191_18.

Extensive Pulmonary Metastases 13 Years after Initial Resection of Intracranial Meningioma.

Author information

Department of Neurosurgery, Waikato Hospital, Hamilton, New Zealand.
Department of Radiation Oncology, Waikato Hospital, Hamilton, New Zealand.
Department of Pathology, Waikato Hospital, Hamilton, New Zealand.



Extracranial metastasis from intracranial meningioma is a very rare condition. A current literature review reveals that only few cases are documented with extensive pulmonary involvement >10 years after initial intracranial meningioma resection. Diagnosis of pulmonary meningioma is often confirmed by computed tomography chest-guided core biopsies. The prognosis of extensive metastatic pulmonary meningioma, however, is unknown and there is no gold standard treatment option.

Case Description:

We present a case of multiple pulmonary meningioma metastases developing 13 years after initial resection of left occipital parafalcine World Health Organization Grade I intracranial meningioma.


There are no established guidelines for the optimal management or surveillance of extensive pulmonary metastatic meningioma. In patients with high-grade meningioma and multiple cannonball pulmonary lesions, metastatic meningioma should be considered as part of the differential diagnosis. Metastatic meningioma may occur even a decade after initial tumour resection.


Meningioma; Rosai–Dorfman disease; metastatic meningioma; pulmonary metastases; recurrent meningioma

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