AJDRAJNR - American Journal of Neuroradiology

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MR Imaging Features of Clear-Cell Meningioma with Diffuse Leptomeningeal Seeding

Whal Leea, Kee-Hyun Chang,a, Gheeyoung Choea, Je G. Chia, Chun-Kee Chunga, Il Han Kima, Moon Hee Hana, Sun-Won Parka, Sang June Shina and Young Hwan Koha

a From the Department of Radiology, Seoul National University College of Medicine (W.L., K.-H.C., M.H.H., S.-W.P., S.J.S., Y.H.K.); Neuroscience Research Institute, SNUMRC (K.-H.C., M.H.H.); Departments of Pathology (G.C., J.G.C.), Neurosurgery (C.-K.C.), and Therapeutic Radiology (I.H.K.), Seoul National University College of Medicine, Seoul, Korea.

Summary: Clear-cell meningioma is a rare disease entity showing a more aggressive nature, clinically, than those of other subtypes of meningioma. It occurs in younger persons and commonly in the spinal canal. The recurrence rate has been reported to be as high as 60%. We present a case of clear-cell meningioma in a 17-year-old man in whom initial MR imaging showed localized leptomeningeal enhancement that had progressed into the entire subarachnoid space after surgical resection of the primary tumor.