Primary Giant Sphenotemporal Intradiploic Meningioma

Dipanker Singh Mankotia1, Saraj Kumar Singh1, Sachin Anil Borkar1

  • 1Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Insights

Intradiploic meningioma, a rare brain tumor, can grow large and extend into the orbit. This case highlights successful surgical removal and reconstruction for a giant sphenotemporal intradiploic meningioma.

Area of Science:

  • Neurosurgery
  • Oncology
  • Skull Base Surgery

Background:

  • Intradiploic meningiomas represent a rare subtype of meningioma, comprising approximately 1% of all diagnosed cases.
  • These tumors arise within the diploë of the skull, differentiating them from typical meningiomas.
  • Giant meningiomas pose unique surgical challenges due to their size and potential for extensive invasion.

Observation:

  • A rare case of a giant sphenotemporal intradiploic meningioma with significant orbital extension was observed.
  • The affected patient was a 27-year-old female presenting with symptoms related to the tumor's mass effect and extension.
  • Diagnostic imaging revealed the large tumor size and its involvement of the sphenotemporal region and orbit.

Findings:

  • Complete surgical excision of the giant sphenotemporal intradiploic meningioma was achieved.
  • The surgical defect required bony reconstruction, successfully managed with an autologous split-thickness bone graft.
  • Histopathological analysis confirmed the diagnosis of intradiploic meningioma.

Implications:

  • This case demonstrates the feasibility of radical surgical management for complex, large intradiploic meningiomas with orbital invasion.
  • Successful bony reconstruction using autologous grafts is crucial for restoring structural integrity and cosmesis.
  • Further research into the optimal management strategies for rare and giant meningiomas is warranted.

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