Muhammad Zafrullah Arifin
Department of Neurosurgery, Faculty of Medicine, Universitas Padjdajaran-Dr. Hasan Sadikin General Hospital

Published : 37 Documents
Articles

Found 37 Documents
Search

Hubungan Cedera Servikal dengan Fraktur Depresi Tulang Frontal pada Cedera Kepala Ringan Arifin, Muhammad Zafrullah; Gunawan, Wienorman
Majalah Kedokteran Bandung Vol 43, No 3 (2011)
Publisher : Fakultas Kedokteran, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pemahaman mekanisme cedera kepala penting dalam menentukan pola cedera secara anatomis. Fraktur depresi tulang frontal terjadi bila terdapat gaya mekanis yang cukup kuat pada kepala. Dalam hal ini pada aksis fleksi dan ekstensi. Gerakan fleksi ekstensi berlebihan dilaporkan berhubungan dengan cedera servikal. Penelitian analitik retrospektif di Departemen Bedah Saraf RS Dr. Hasan Sadikin Bandung periode Januari 2008–Desember 2009 ini bertujuan untuk melihat hubungan cedera servikal dengan fraktur depresi tulang frontal pada penderita cedera kepala ringan. Uji statistik menggunakan chi-kuadrat dan Pearson correlation. Didapatkan 354 kasus cedera kepala ringan dengan 17 (4,8%) kasus fraktur depresi tulang frontal, 14 (3,9%) kasus cedera servikal termasuk satu kasus dengan keduanya. Mekanisme cedera kepala terbanyak adalah kecelakaan bermotor, terjatuh dari ketinggian, dan benturan benda tumpul di bagian kepala. Hasil analisis statistik menunjukkan hubungan signifikan fraktur depresi tulang frontal dengan cedera servikal (p=0,000). Tidak didapatkan hubungan penggunaan helm dengan risiko cedera servikal (p=0,157). Simpulan, fraktur depresi tulang frontal pada kasus cedera kepala ringan merupakan indikator adanya cedera servikal. [MKB. 2011;43(3):122–7].Kata kunci: Cedera kepala ringan, cedera servikal, fraktur depresi tulang frontalCorrelation of Cervical Injury to Frontal Depressed Fracture in Mild Head InjuryAn understanding of head injury mechanism has a major role in predicting the anatomical injury. Frontal depressed fracture occurs if a substantial force is applied to the head. In this case, the flexion and extension axis. Overflexion and over-extension movement was reported to have correlation with cervical injury. This study was to find out the correlation cervical injury and frontal depresses fracture in mild head injury cases. A retrospective analytic study was carried out, chi-square and Pearson correlation test were performed using records of patients consulted to Neurosurgery Department of Dr. Hasan Sadikin Hospital in January 2008–December 2009. There were 354 cases of mild head injury with 17 (4.8%) cases of frontal depressed fracture, 14 (3.9%) cervical injuries, included one with both. The cause of the trauma were riding motorcycle, fell from height, and blunt trauma to the head. The statistical analysis showed a significant correlation between cervical injury and frontal depressed fracture (p=0.000). There was no correlation between helmet utilization and risk of cervical injury (p=0.157). In conclusion, fracture in mild head injury cases is an indicator of cervical injury. [MKB. 2011;43(3):122–7].Key words: Cervical injury, mild head injury, frontal depressed fracture
Functional Independence Measure Penderita Cedera Servikal Arifin, Muhammad Zafrullah; Henky, Jefri
Majalah Kedokteran Bandung Vol 45, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cedera servikal merupakan salah satu cedera tulang belakang terbanyak pada penderita trauma. Di Amerika Serikat tahun 2008 dari 100.000 kasus cedera tulang belakang, 2/3 merupakan kasus cedera servikal. Penilaian awal dilakukan berdasarkan American Spinal Cord Injury Association (ASIA) Impairment Score, sedangkan hasil setelah penatalaksanaannya sering diabaikan untuk evaluasi keberhasilan ahli di rumah sakit. Tujuan penelitian untuk mengetahui nilai functional independence measure (FIM) penderita cedera servikal dengan manajemen konservatif dan korelasinya dengan usia, jenis kelamin, jenis trauma, onset trauma, abnormalitas tulang servikal, lesi cervical spine, dan ASIA Impairment Score. Dilakukan studi kohor prospektif pada semua pasien cedera servikal yang memenuhi kriteria inklusi di Departemen Bedah Saraf Rumah Sakit (RS) Dr. Hasan Sadikin Bandung. Subjek dikelompokkan berdasarkan usia, jenis kelamin, trauma tunggal/multipel, akut/kronik, abnormalitas tulang servikal, lesi komplet/inkomplet, ASIA Impairment Score, dan komplikasi awal cedera. Pada penderita dilakukan penilaian FIM di Poliklinik Bedah Saraf. Data dianalisis menggunakan uji-t dan uji chi-kuadrat dengan p<0,05. Terdapat 17 penderita cedera servikal yang dirawat di Departemen Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009–April 2010. Observasi kohor prospektif nilai FIM rata-rata penderita cedera servikal adalah 4+1,63. Analisis chi-kuadrat menyatakan bahwa tidak terdapat hubungan usia (p=0,064), jenis kelamin (p=0,144), jenis trauma penyerta (p=0,959), onset cedera (p=0,220), abnormalitas tulang servikal (p=0,869) dengan besarnya nilai FIM pasien cedera servikal. Terdapat hubungan jenis lesi cervical spine (p=0,037), ASIA Impairment Score (p<0,001) dengan besarnya nilai FIM penderita cedera servikal. Simpulan, jenis lesi cervical spine dan ASIA Impairment Score memiliki hubungan bermakna dengan besarnya nilai FIM penderita 3 bulan pascacedera servikal. [MKB. 2013;45(3):180–6]Functional Independence Measure in Patients with Cervical Spine InjuryCervical spine injury is one of the most common spinal cord injuries in trauma patients. From 100,000 spinal cord injury cases reported in the United States of America (2008), 2/3 involved cervical spine injury. American Spinal Cord Injury Association (ASIA) Impairment Score is used as an initial assessment but further prognostic outcome of these patients is often not paid enough attention. The objective of this study was to find the value of functional independence measure (FIM) cervical spine injury patients with conservative management and correlation with age, sex, type of trauma, onset of trauma, cervical bone abnormalities, type of spinal lesion and ASIA Impairment Score. A prospective cohort study was performed to all patients with cervical spine injury which fullfil the inclusion criteria treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung. The subjects were classified based on age, sex, single/multiple trauma, acute/chronic, cervical bone abnormalities, complete/incomplete lesion, ASIA impairment score and initial complication. The patients were performed to FIM examination in Outpatient clinic of Neurosurgery. T-test and chi-square test with p<0.05 were done to analyze the data. There were 17 cervical spine injury patients treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung during April 2009–April 2010. The average FIM value of cervical spine injury in those patients was 4+1.63 by cohort prospective study. There were no correlation between FIM value with age (p=0.064), sex (p=0.144), type of trauma (p=0.959), onset of trauma (p=0.220) and cervical bone abnormalities (p=0.869). We found a significant correlation between FIM value with type of cervical spine lesion (p=0.037) and ASIA Impairment Score (p<0.001) in cervical spine patients. In conclusion, type of cervical spine lesion and ASIA impairment score have significant correlation with FIM value of patients in 3 months after cervical injury.[MKB. 2013;45(3):180–6] DOI: http://dx.doi.org/10.15395/mkb.v45n3.15
Kadar Protein S-100 Serum Penderita Fraktur Oromaksilofasial yang Disertai Cedera Kepala Ringan Miguna, Hayana; Arifin, Muhammad Zafrullah
Majalah Kedokteran Bandung Vol 44, No 4 (2012)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penderita fraktur oromaksilofasial sering disertai dengan cedera kepala karena letak dan strukturnya yang berdekatan. Penilaian kemungkinan untuk lesi intrakranial setelah cedera kepala ringan merupakan tantangan utama dalam mendiagnosisnya. Salah satu metode yang dapat digunakan yaitu dengan menggunakan biomarker (petanda biokimia) protein S-100 serum yang merupakan protein neuron-spesifik. Tujuan penelitian adalah untuk menilai peningkatan kadar protein S-100 serum dan melihat perbedaannya berdasarkan lokasi fraktur oromaksilofasial pada cedera kepala ringan. Penelitian ini menggunakan metode studi kasus kontrol yang dilakukan di RS Dr. Hasan Sadikin Bandung pada bulan November 2010–Januari 2011. Sampel berjumlah 76 orang yang terdiri atas 38 penderita dewasa fraktur oromaksilofasial disertai dengan cedera kepala ringan dan 38 orang dewasa sehat sebagai kontrol. Hasil penelitian menunjukkan bahwa pada penderita fraktur oromaksilofasial dengan cedera kepala ringan diperoleh kadar protein S-100 serum rata-rata meningkat sebanyak dua kali lipat, yang secara statistik signifikan dengan t hitung=2,26 atau nilai p=0,0135. Bila kelompok penderita yang satu dibandingkan dengan kelompok penderita lainnya, maka didapatkan hasil yang tidak signifikan secara statistik atau dapat dikatakan mempunyai kadar protein S-100 serum yang sama. Simpulan, pada penderita dewasa fraktur oromaksilofasial disertai cedera kepala ringan terdapat peningkatan kadar protein S-100 serum dan tidak terdapat perbedaan kadar protein S-100 serum berdasarkan lokasi fraktur oromaksilofasial. [MKB. 2012;44(4):233–39].Kata kunci: Cedera kepala ringan, fraktur oromaksilofasial, protein S-100 serumSerum Levels of S-100 Protein in Oromaxillofacial Fracture Patients with Mild Head InjuryOromaxillofacial fracture is often accompanied by head injury due to its adjacent location and structure. Risk estimation for clinically relevant intracranial lesions after minor head injury remains a major diagnostic challenge. One possible method to evaluate the possibility of intracranial lesion is by using biomarkers (biochemical marker) protein S-100. Protein S-100 is a neuron-specific protein. The aim of present study was to assess the elevated levels of S-100 protein serum and to investigate whether there was any difference in the S-100 protein serum concentrations depending on the location of the oromaxillofacial fractures in mild head injury. This study was performed using analytic observational method with case control research design conducted at Dr. Hasan Sadikin General Hospital Bandung between November 2010 and January 2011. There were 76 samples, comprised of 38 adult patients with oromaxillofacial and mild head injury and 38 healthy adults as a control group. The result showed that there was an increase level of S-100 protein serum concentrations in patients having oral and maxillofacial fractures with mild head injury. The concentration increased on average twice as much, which was statistically significant at t test=2.26 with p-value=0.0135. If one group of patients was compared with other patient groups, however, the results were not statistically significant, or it can be stated to have the same level of S-100 protein serum concentrations. In conclusion, oral and maxillofacial fractures in adult patients with mild head injury have elevated levels of S-100 protein serum concentrations and there is no difference in S-100 protein serum concentrations based on the location of oromaxillofacial fractures in mild head injury. [MKB. 2012;44(4):233–39].Key words: Mild head injury, oromaxillofacial fracture, S-100 protein serum DOI: http://dx.doi.org/10.15395/mkb.v44n4.178
Perbandingan Efektivitas Natrium Laktat dengan Manitol untuk Menurunkan Tekanan Intrakranial Penderita Cedera Kepala Berat Arifin, Muhammad Zafrullah; Risdianto, Ajid
Majalah Kedokteran Bandung Vol 44, No 1 (2012)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Peningkatan tekanan intrakranial masih menjadi penyebab utama kematian pada penderita cedera kepala. Penggunaan obat baru sebagai terapi osmosis diharapkan mampu menurunkan tekanan intrakranial. Penelitian prospektif, samar ganda, acak dilakukan terhadap 20 penderita cedera kepala berat di Unit Gawat Darurat (UGD) Rumah Sakit Dr. Hasan Sadikin Bandung selama bulan Februari–Juli 2009. Penderita dikelompokkan dalam 2 kelompok yang mendapat terapi manitol atau natrium laktat. Dilakukan pengukuran tekanan intrakranial, kadar laktat, kadar natrium, serta kalium sebelum dan sesudah terapi osmosis dengan uji Shapiro-Wilk untuk analisis distribusi dan uji t berpasangan atau uji Wilcoxon untuk perbandingan rata-rata mempergunakan program statistical products and solution services (SPSS). Kelompok natrium laktat mengalami penurunan tekanan intrakranial (p<0,001) serta kenaikan kadar laktat (p=0,035). Kelompok manitol mengalami penurunan tekanan intrakranial (p=0,005) dan perubahan kadar laktat (p=0,135). Kadar natrium dan kalium pada kedua kelompok tidak terdapat perubahan yang bermakna. Penurunan tekanan intrakranial kelompok manitol dan natrium laktat tidak berbeda bermakna (p=0,417). Kadar laktat antara kelompok natrium laktat dan manitol berbeda bermakna (p=0,016), yaitu kenaikan kadar laktat yang lebih tinggi pada kelompok natrium laktat. Simpulan, pemberian natrium laktat dan manitol sama efektifnya menurunkan tekanan intrakranial pada penderita cedera kepala berat. Pemberian natrium laktat meningkatkan kadar laktat secara bermakna dibandingkan dengan pemberian manitol. Tidak terdapat perbedaan bermakna kadar natrium dan kalium pada kedua kelompok penelitian. [MKB. 2012;44(1):26–31].Comparisson between Natrium Lactate and Mannitol Effectivity in Decreasing Intracranial Pressure in Severe Head Injury PatientsIncreasing of intracranial pressure still a main cause of death in head injury patient. A new osmotic therapy probably an alternative to decrease intracranial pressure. A prospective randomized double blind study was done in 20 severe head injury in Dr. Hasan Sadikin Hospital Bandung emergency unit during February–July 2009. Subjects were divided in 2 groups, the first group was treated by natrium lactate and the second group was mannitol. We measured intracranial pressure, lactate concentration, potassium and natrium concentration before and after treatment. The statistical analysis were performed by using Shapiro-Wilk test for distribution analysis and paired t-test or Wilcoxon test for mean comparison using statistical products and solution services (SPSS) program. Intracranial pressure decreased in natrium lactate group (p<0.001) with increased of lactate concentration (p=0.035). In mannitol group we get a decreased in intracranial pressure (p=0.005), and in lactate concentration (p=0.135). No significant changed of potassium and natrium concentration in each group. No significant intracranial decrease for natrium lactate versus mannitol was apreciated (p=0.417), but a significant different in lactate concentration (p=0.016). We noticed lactate concentration in natrium lactate had a higher increase. In conclusions, we noticed a significant intracranial pressure decreased by manitol as same as natrium lactate treatment. Natrium lactate administration was increasing lactate concentration significantly than mannitol done. No significant difference in natrium and potassium was noticed in both groups. [MKB. 2012;44(1):26–31].  DOI: http://dx.doi.org/10.15395/mkb.v44n1.74 
Robotic Surgery for Giant Presacral Dumbbell-Shape Schwannoma Yudoyono, Farid; Arifin, Muhammad Zafrullah; Dahlan, Rully Hanafi; Ompusunggu, Sevline Estethia; Ah, Shin Dong; Seong, Yi; Yoon, Ha; Heum, Yoon Do; Nyun, Kim Keung
International Journal of Integrated Health Sciences VOL 3, NO 1, March (2015)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: To demonstrate the feasibility of using da Vinci robotic surgical system to perform spinal surgery.Methods: Magnetic resonance imaging (MRI) of a 29-year-old female patient complaining right pelvic pain for 1 month revealed a 17x8x10 cm non-homogeneous dumbbell shape encapsulated mass with cystic change located in the pelvic cavity and caused an anterior displacement of urinary bladder and colon.Results: There was no systemic complication and pain decrease 24 hours after surgery and  during 2 years of follow up. The patient started a diet 6 hours after the surgery and was discharged 72 hours after the surgery. The pathological diagnosis of the tumor was schwannoma. Conclusions: Giant dumbbell shape presacral schwannomas are rare tumours and their surgical treatment is challenging because of the complex anatomy of the presacral. Clinical application of da Vinci robotic surgical system in the spinal surgical field is currently confined to the treatment of some specific diseases or procedures. However, robotic surgery is expected to play a practical future role as it is minimally invasive. The advent of robotic technology will prove to be a boon to the neurosurgeon.Keywords: da Vinci robotic surgical system, presacral, schwannoma DOI: 10.15850/ijihs.v3n1.407
Fetus inside Brain - Mature Cystic Teratoma in Posterior Fossa Yudoyono, Farid; Sobarna, Mirna; Sutiono, Agung Budi; Arifin, Muhammad Zafrullah
International Journal of Integrated Health Sciences VOL 4, NO 1, March (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: To describe a rare case of posterior fossa cystic teratoma in central nervous system. Methods: A 2-year old boy was admitted with a chief complaint of decreased consciousness with tonic clonic seizure. Non-Contrast Head Computed Tomography (NCCT) scan showed acute hydrocephalus and a well-defined extra-axial cystic lesion mass, 3.4x3.9x4.2 cm in size, in the posterior fossa.Results: Patient underwent a total resection of the tumor. No systemic complication was found in ten days following the surgery. There was no evidence of tumor recurrence one year after the surgery. The histopathologycal diagnosis of the tumor was cystic teratoma.Conclusions: Mature cyst teratoma located in the posterior fossa is a rare case. Total resection and long-term follow up is the treatment of choice for mature teratoma.Keywords: Hydrocephalus, posterior fossa, teratoma DOI: 10.15850/ijihs.v4n1.687
PERBANDINGAN PENGUKURAN STATUS SEDASI RICHMOND AGITATION SEDATION SCALE (RASS) DAN RAMSAY SEDATION SCALE (RSS) PADA PASIEN GAGAL NAFAS TERHADAP LAMA WEANING VENTILATOR DI GICU RSUP Dr.HASAN SADIKIN BANDUNG Deli, Hellena; Arifin, Muhammad Zafrullah; Fatimah, Sari
Jurnal Riset Kesehatan Vol 6, No 1 (2017): MEI 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (611.319 KB)

Abstract

Sedation is an important factor to improve patient comfort. Over sedation may lead to a longer ventilator time. To prevent over sedation need an instrument can measure accurately the status of sedation. This study aimed to analyze the differences between Richmond Agitation Sedation Scale (RASS) and the Ramsay Sedation Scale (RSS) in measuring the status of sedation for respiratory failure patient against time weaning ventilator. This study is observational analytic with prospective cohort study. This study was conducted in 13 respiratory failure patient and use mechanical ventilator. Sampling is done by non probability sampling method with consecutive sampling that received sedation therapy in GICU RSUP Dr Hasan Sadikin, Bandung. Samples will be measured with two sedation instrument they are RASS and RSS. Patient will be observed until the patient is successfully weaning ventilator mode CPAP or CPAP PS with PS 5-8 cmH2O and PEEP 5 cmH2O.These results indicate the measurement status with RASS sedation and RSS have a significant impact on weaning ventilator time with a value of p <0.05. Based on analysis results there is a significant difference between the measurement of sedation status by RASS and RSS for respiratory failure patient and weaning ventilator time with p <0.05, and the post hoc analysis shows that there are differences in each measurement sedation with p <0,05.Measurement status with RASS sedation better in reducing the length of ventilator weaning compared to RSS. This study can be used as the basis for further research regarding the relationship status measurement sedation to morbidity, mortality and length of stay in patients receiving sedation therapy.
Histological Description of Meningeal and Periosteal Dural Layers at the Porus of Internal Acoustic Canal in the Vestibular Schwannoma Sutiono, Agung Budi; Arifin, Muhammad Zafrullah; Faried, Ahmad; Ohira, Takayuki
International Journal of Integrated Health Sciences VOL 1, NO 1, July (2013)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: To study the transformation point of meningeal and periosteal dural at the porus of internal acoustic canal (IAC) in order to verify the different thickness of meningeal and periosteal dura in vestibular schwannomas (VS). Methods: Three IAC cadaver specimens and ten samples of VS patients from porus were obtained and analyzed. Samples were stained by using Masson trichrome technique after cutting in 6 micron of thickness. The samples were then observed under light microscopes to understand the meninges pattern in the IAC. Results: The meningeal dura is becoming thin at the porus and disappears at the meatal portion to form epineurium. However, the periosteal dura is lining continuously to the fundus. In VS, the meningeal dura becomes thick and forms a pseudo-capsule in the middle of meatus, known as perineurium. The residual nerve filament was compressed by the tumor parenchyma. Between the tumor and nerve interface, three or more perineureal layers are seen. The perineurium in the cisternal portion was consistently loose and forms the tumor and arachnoid nerve interface. Almost all the nerve filaments are displaced to the tumor periphery near the pseudocapsule. In contrast, the periosteal dural of VS is becoming thin and disappear nearby the middle of meatal portion. This changing site establishes “meningo-periosteal ring” of VS because of the encircling nearby the porus. Conclusions: In IAC, the meningeal dural becomes thin. The periosteal dura is lining continuously to the fundus. In VS, the meningeal dura becomes thick, joins perineurium and forms pesudocapsule near the porus, but the periosteal dura disappeared. This changing point is called meningo-periosteal ring.     Keywords: Meningeal,  periosteal, porus, vestibular schwannomasDOI: 10.15850/ijihs.v1n1.104
Rare Distal Anterior Choroidal Artery Aneurysm Arifin, Muhammad Zafrullah; July, Julius; Ferry, Bilzardy; Faried, Ahmad
International Journal of Integrated Health Sciences VOL 4, NO 2, September (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: To describe a rare patient with ruptur aneurysm case of distal anterior choroidal artery (AChA) and intraventricular hemorrhage. A 56-year old female came to our hospital with chief complaint sudden onset of severe headache and vomiting.Methods: Head computed tomography (CT)-scan and angiography on the lesion was performed at the Department of Radiology, Siloam Hospital, Tangerang, Indonesia.Results: Head CT-scan imaging revealed an intraventricular hemorrhage, primarily in the right lateral ventricle, with slight enlargement of both lateral, 3rd and 4th ventricles. Angiography examination revealed a round vascular lesion at the wall of the posterior cornu of the lateral ventricle and an occlusion of the M1 base segment of the left middle cerebral artery.Conclusions: The lesion, distal AChA aneurysm, at the posterior cornu was reached using an infratemporal lobe approach with the help of neuronavigation. Microsurgical clipping was successfully performed.Keywords: Aneurysm, distal anterior choroidal artery, neuronavigation DOI: 10.15850/ijihs.v4n2.837
Cystic Meningioma in the Inter-Hemisferic Space Location Arifin, Muhammad Zafrullah; Tjahjono, Firman Priguna; Sutiono, Agung Budi; Faried, Ahmad
International Journal of Integrated Health Sciences VOL 4, NO 1, March (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: The presentation of cystic meningioma in the inter-hemispheric near the falx cerebri is uncommon. It is difficult to differentiate it from intra-axial tumors, such as gliomas. Therefore, it is likely that it is misdiagnosed as other types of brain tumors.Methods: In this study, we reported a cystic meningioma case in the inter-hemispheric location, showing an intramural nodule on magnetic resonance imaging scans.Results: Patient underwent surgical treatment and pathological section confirmation revealing meningioma. The patient was a middle-age woman and had been misdiagnosed as suffering from glioma followed by slight hemipharesis on the right extremities.Conclusions: Although this is a rare case, it will be good if we always consider cystic meningioma in inter-hemispheric space when diagnosing this type of cystic lesion if the magnetic resonance imaging (MRI) shows a cystic lesion mimicking glioma image presentation.Keywords: Cystic meningioma, interhemispheric space, magnetic resonance imaging, diagnosis DOI: 10.15850/ijihs.v4n1.686