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Meningiomas presenting with paranasal sinus involvement
K M Morris1, D Campbell, P M Stell
1Mersey Regional Department of Surgical Neurology, Walton Hospital, Liverpool.
Abstract:
Extracranial paranasal spread of meningiomas is uncommon. We describe the management of four cases, all of which first presented to an oto-rhino-laryngologist for an opinion. We suggest that greater use of modern imaging techniques could lead to earlier diagnosis. The natural history of extracranial spread is relatively benign but the management of regrowth of residual disease is difficult. We therefore suggest radical surgery in the first instance provided that the patients general health and configuration of the tumour allow.
Insights
Extracranial spread of meningiomas, though rare, often presents to ear, nose, and throat specialists. Early diagnosis via advanced imaging and radical initial surgery are recommended for better management of this benign but potentially recurrent condition.
Area of Science:
- Neurosurgery
- Otolaryngology
- Oncology
Background:
- Extracranial spread of meningiomas is an uncommon presentation.
- Meningiomas are typically intracranial tumors originating from the meninges.
Observation:
- Four cases of extracranial paranasal meningioma spread are presented.
- All cases initially sought consultation with an oto-rhino-laryngologist.
- Modern imaging techniques may aid in earlier detection.
Findings:
- The natural history of extracranial meningioma spread is generally benign.
- Recurrence or regrowth of residual disease presents management challenges.
- Radical surgical intervention is suggested as a primary treatment approach.
Implications:
- Increased awareness among oto-rhino-laryngologists is crucial for prompt diagnosis.
- Advanced imaging should be considered for suspected extracranial meningiomas.
- Optimizing surgical strategies is key to managing potential disease recurrence.