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

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[Frontal meningioma en plaque: a rare presentation for a common tumor!]

J Bouguila1, R H Khonsari, K Ayashi

  • 1Service d'ORL et de chirurgie maxillofaciale, CHU La-Rabta, 1007 Tunis, Tunisie. bouguila_jed@yahoo.fr

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|October 20, 2009
PubMed
Abstract

Insights

En plaque meningioma, a rare dural tumor, infiltrated the skull vault in an exceptional case. This rare meningioma subtype has a high risk of recurrence after surgical removal.

Area of Science:

  • Neurosurgery
  • Oncology
  • Pathology

Background:

  • En plaque meningioma is a rare subtype characterized by diffuse, sheet-like growth infiltrating the dura mater and potentially bone.
  • This specific morphological subtype is uncommon, particularly when presenting as a lesion of the skull vault.

Observation:

  • A 41-year-old female presented with progressive swelling in the left frontoparietal region.
  • CT imaging revealed cranial bone thickening without intracranial mass effect.
  • Surgical resection was performed, with histological confirmation of en plaque meningioma.

Findings:

  • The en plaque meningioma recurred seven years after the initial surgical removal.
  • This case highlights an unusual localization and disease progression for this meningioma subtype.

Implications:

  • En plaque meningioma of the skull vault represents a rare clinical challenge.
  • The high rate of recurrence underscores the need for vigilant long-term follow-up and potentially novel therapeutic strategies.

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