Post-traumatic cutaneous meningioma

Pepijn A Borggreven1, Floris H de Graaf, Paul van der Valk

  • 1Department of Otolaryngology, VU Medical Centre, Amsterdam, The Netherlands. pa.borggreven@vumc.nl

Insights

Cutaneous meningiomas, rare skin tumors, are challenging to diagnose. This case highlights a paranasal swelling linked to prior head trauma, emphasizing potential trauma-induced development and surgical considerations for extracranial meningiomas.

Area of Science:

  • Neurosurgery
  • Dermatology
  • Pathology

Background:

  • Cutaneous meningiomas are exceptionally rare neoplasms arising outside the central nervous system.
  • Diagnosis can be challenging due to their rarity and varied presentation.

Observation:

  • A patient presented with a paranasal swelling years after sustaining head trauma and fractures in the same area.
  • Histopathological examination of an incisional biopsy confirmed the diagnosis of cutaneous meningioma.

Findings:

  • The tumor exhibited progressive growth over 1.5 years, necessitating surgical intervention due to aesthetic concerns.
  • Extracranial meningiomas may arise secondary to meningeal tissue entrapment following traumatic injury.

Implications:

  • Surgical excision is a viable treatment option for cutaneous meningiomas without intracranial connection.
  • This case underscores the importance of considering trauma history in the etiology of extracranial meningiomas.

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