https://radiopaedia.

org/articles/meningothelial-meningioma

Meningothelial meningioma (also known as syncytial or endothelial meningiomas) is the most common
histological subtype of meningioma, found in ~60% of all meningiomas, most frequently combined with fibrous
meningioma (40%) or in isolation (17%) 1.

Their epidemiology, clinical presentation, radiographic features, treatment, prognosis, and differential diagnosis
are therefore discussed in the main article (see meningioma) and are not repeated here.

Pathology
Meningothelial meningiomas most closely resemble arachnoid cap cells and are characterized by sheets,
whorls or syncytia of neoplastic cells which have round or oval centrally located nuclei with dispersed
chromatin, smooth nuclear profiles and small indistinct nucleoli. They also sometimes demonstrate eosinophilic
cytoplasmic invaginations (a.k.a. intranuclear pseudoinclusions) 2-3. Lobules of the tumor are separated from
each other with collagen sheets 3.

References
 1. Backer-Grøndahl T, Moen BH, Torp SH. The histopathological spectrum of human meningiomas.
Int J Clin Exp Pathol. 2012;5 (3): 231-42. Free text at pubmed - Pubmed citation
 2. Cancer Grading Manual. Springer. (2007) ISBN:0387337512. Read it at Google Books - Find it at
Amazon

 3. Lee JH. Meningiomas. Springer. (2008) ISBN:1846287847. Read it at Google Books - Find it at
Amazon
 Dural masses
 dural masses
o meningioma
 grading and histological variants
 grade I
 meningothelial meningioma
 fibrous meningioma
 microcystic meningioma
 psammomatous meningioma
 angiomatous meningioma
 secretory meningioma
 metaplastic meningioma
 cartilaginous meningioma
 lipomatous meningioma
 melanotic meningioma
 myxoid meningioma
 osseous meningioma
 xanthomatous meningioma
 lymphoplasmacyte-rich meningioma
 grade II
  clear cell meningioma
 chordoid meningioma
 atypical meningioma
 grade III
 rhabdoid meningioma
 papillary meningioma
 anaplastic meningioma (a.k.a. malignant meningioma)
 imaging signs
 CSF cleft sign
 dural tail
 ginkgo leaf sign (spinal meningioma)
 mother in law sign
 spoke wheel sign
 sunburst sign
 white matter buckling sign
 variants
 cystic meningioma
 en plaque meningioma
 radiation-induced meningioma
 burnt out meningioma
 by location
 primary intradural meningioma
 intraventricular meningioma
 optic nerve meningioma
 spinal meningioma
 primary extradural meningiomas
 primary intraosseous meningioma
 Simpson grade (of resection)
o hemangiopericytoma
o solitary fibrous tumor of the dura
o primary dural lymphoma
o Rosai-Dorfman disease
o EBV-associated smooth muscle tumor
o meningeal melanocytoma
o primary meningeal malignant melanoma
o Erdheim-Chester disease
o sarcoidosis
o dural metastases
o hypertrophic pachymeningitis
 tuberculous pachymeningitis
 IgG4-related hypertrophic pachymeningitis