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Related Experiment Video

Updated: Jul 18, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
09:53

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Published on: July 5, 2021

Skull base meningioma: delayed extracranial presentation.

K Al-Sebeih, S Al-Dhahri, A Zeitouni

    Skull Base : Official Journal of North American Skull Base Society ... [Et Al.]
    |December 15, 2006
    PubMed
    Summary

    Extracranial meningiomas, rare tumors extending beyond the skull, pose diagnostic challenges. Early detection is crucial, especially when the extracranial component appears years after the initial intracranial tumor diagnosis.

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    Area of Science:

    • Neurosurgery
    • Oncology
    • Radiology

    Background:

    • Meningiomas are frequent intracranial tumors.
    • Extracranial extension of meningiomas is rare, particularly at the skull base.
    • Diagnosis and management of extracranial meningiomas present significant challenges.

    Purpose of the Study:

    • To discuss the clinical presentation, radiologic findings, and management of a large skull base meningioma with a delayed extracranial component.
    • To highlight the diagnostic difficulties associated with extracranial meningiomas.
    • To emphasize the importance of clinical acumen in identifying late-presenting extracranial components.

    Main Methods:

    • Case report of a patient with a large skull base meningioma.
    • Review of relevant literature concerning extracranial meningiomas.
    • Discussion of clinical, radiologic, and management aspects.

    Main Results:

    • A significant delay of 13 years occurred between the diagnosis of the intracranial meningioma and the appearance of its extracranial component.
    • The case illustrates the potential for late manifestation of extracranial extension.
    • Successful management strategies for this challenging presentation were discussed.

    Conclusions:

    • A high index of suspicion is essential for diagnosing extracranial meningiomas.
    • Clinical acumen is critical for discovering extracranial components, especially when they present long after the intracranial tumor.
    • Prompt diagnosis and appropriate management are vital for improved patient outcomes.