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[Intraosseous meningioma. Case report].

E Kurihara1, H Nogaki, Y Shose

  • 1Department of Neurosurgery, Toyooka Public Hospital, Hyogo.

Neurologia Medico-Chirurgica
|December 1, 1991
PubMed
Summary

An 82-year-old patient presented with neurological deficits and a skull mass. Surgical removal revealed an intradiploic meningioma, a rare tumor originating within the skull bone.

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Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Pathology

Background:

  • Intradiploic meningiomas are rare primary bone tumors of the skull.
  • They can present with subtle or overt neurological symptoms and palpable masses.

Observation:

  • An 82-year-old female exhibited progressive aphasia and right hemiparesis with a left frontotemporal subcutaneous swelling.
  • Radiological imaging, including plain X-ray, CT, and bone CT, revealed a well-circumscribed, intraosseous, enhancing mass with inner table destruction.
  • Angiography identified the middle meningeal artery as the mass's blood supply.

Findings:

  • Surgical exploration confirmed an intradiploic tumor with skull bone destruction but no dural invasion.
  • Histopathological analysis diagnosed a meningotheliomatous meningioma characterized by numerous psammoma bodies.

Implications:

  • This case highlights the importance of considering intradiploic meningiomas in the differential diagnosis of skull masses and neurological deficits.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes in patients with these rare tumors.

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