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Primary Extracranial Meningioma: The Royal Pearl Experience
Trichy Narayanan Janakiram1, Palak Parekh1, Vijayalakshmi Subramaniam2
1Department of Otorhinolaryngolgy, Royal Pearl Hospital, Tiruchirapally, Tamilnadu India.
Abstract:
The extracranial occurrence of meningioma, which is a tumour of the central nervous system, is rare. Two cases of primary extracranial meningioma of the psammomatous variant are reported here. Both cases were managed successfully by endoscopic endonasal approach. Literature has been reviewed and their clinicopathological features are described.
Insights
Extracranial meningiomas, rare central nervous system tumors, can be successfully treated. This report details two psammomatous variant cases managed with an endoscopic endonasal approach, highlighting their successful outcomes.
Area of Science:
- Neurosurgery
- Oncology
- Pathology
Background:
- Meningiomas are typically intracranial tumors arising from the meninges.
- Extracranial meningiomas are exceptionally rare, posing diagnostic and therapeutic challenges.
- Psammomatous meningioma is a specific histological subtype with distinct features.
Purpose of the Study:
- To report two rare cases of primary extracranial meningioma.
- To describe the clinicopathological features of these tumors.
- To evaluate the efficacy of the endoscopic endonasal approach for management.
Main Methods:
- Case presentation of two patients with primary extracranial meningioma.
- Surgical management using the endoscopic endonasal approach.
- Comprehensive literature review on extracranial meningiomas.
Main Results:
- Successful surgical resection of both primary extracranial meningiomas.
- Favorable outcomes following endoscopic endonasal surgery.
- Detailed description of the clinicopathological characteristics.
Conclusions:
- The endoscopic endonasal approach is a viable and effective treatment for select extracranial meningiomas.
- Early diagnosis and appropriate surgical intervention are crucial for favorable outcomes.
- Further research into the pathogenesis and management of these rare tumors is warranted.

