A Patient With Intracranial Multiple Meningiomas Combined With Neurofibromatosis type I

J Craniofac Surg. 2025 Jan 3. doi: 10.1097/SCS.0000000000011067. Online ahead of print.

Abstract

The coexistence of intracranial multiple meningiomas and neurofibromatosis type 1 is a rare occurrence in the field of neurosurgery, presenting complex treatment challenges, unfavorable prognoses, and significant burdens on both families and society. Currently, the primary objective is to perform surgical total resection as far as possible, while considering postoperative adjuvant radiotherapy for cases where complete tumor resection is challenging. In this case, the patient has previously undergone multiple brain tumor resections and received radiation therapy. Currently, the tumor is exerting pressure on the brain stem, leading to a diminished quality of life. Considering the patient's personal preferences, overall physical condition, and economic circumstances, it was determined that surgical decompression would no longer be pursued. Instead, symptomatic treatment will be administered to alleviate pain and provide compassionate care.