This is a woman in the seventh decade of life with no history of neurological disease, presents with nonspecific chronic neurological symptoms that include cognitive deficit, headache and seizures.

An MRI was performed and an additional axial tumor was documented, based on the dural implantation, the cystic component in 50% of the tumor, hypointense in T1, hyperintense in T2 and FLAIR, without calcifications or bleeding, but with extensive vasogenic edema and homogeneous enhancement of the solid component and adjacent meninges. 

Histology

The patient was taken for a guided stereotactic biopsy, and the pathological study documented an atypical meningioma (WHO II).