Intracranial Meningioma Following Trauma

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WITH any subject as controversial as that of traumatic and post-traumatic tumors, critical analysis of case histories and physical findings is essential. Strict criteria must be established, against which the data on each patient may be tested, and these are detailed by Ewing1 as the following:

  1. the adequacy and authenticity of the trauma must be established;

  2. the previous integrity of the injured part must be confirmed;

  3. the tumor must originate from the exact site of the injury;

  4. there must be a reasonable lapse of time between the injury and the onset of the tumor symptoms, and

  5. a positive diagnosis of the nature of the tumor must be made.

If such a test were applied to all recorded cases of tumor following trauma, much confusion could be avoided.

Case Report

A 59-year-old man was referred to the Cleveland Clinic on August 19, 1949, with the complaint of repeated convulsive seizures. The relevant history concerned an automobile accident 21 years previously, in which he had sustained cerebral concussion and a depressed fracture in the left frontoparietal region. The calvarial depression had never been elevated.

Following recovery from the immediate effects of the accident, he had been completely free from symptoms until approximately 1 year prior to the present examination. At that time while in bed and apparently asleep, his wife had noticed that he was making clutching movements with both hands. She spoke to him, got no response, and was unable to arouse him. The attack developed. . .



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