A rare case of atypical skull base meningioma with perineural spread

Henry Walton1, Simon Morley1, Javier Alegre-Abarrategui2

  • 1Department of Radiology, University College Hospital, London, UK.

Insights

Atypical meningioma, a rare brain tumor, can cause perineural tumor spread. This case highlights its imaging features and differentiation from other tumors with similar spread patterns.

Area of Science:

  • Neuro-oncology
  • Radiology
  • Neurosurgery

Background:

  • Atypical meningioma is a rare subtype of meningioma.
  • Perineural tumor spread (PNS) is uncommon in meningiomas.
  • Skull base tumors can present with complex anatomical involvement.

Observation:

  • A 46-year-old female presented with atypical meningioma of the skull base.
  • The tumor demonstrated perineural tumor spread.
  • Detailed imaging was performed to characterize the spread.

Findings:

  • The imaging features of atypical meningioma with PNS were described.
  • Distinguishing features from other tumors causing PNS were identified.
  • This case illustrates a rare presentation of meningioma.

Implications:

  • Improved understanding of atypical meningioma imaging.
  • Enhanced diagnostic accuracy for perineural tumor spread.
  • Potential impact on surgical planning and treatment strategies for skull base tumors.

Related Concept Videos