Frontal intradiploic meningioma with progressive intracranial invasion

Zhang, Sunfu; Zhang, Jing; Chen, Junchen; Ai, Xiaolin; He, Xia

doi:10.1097/md.0000000000007903

Cited by 5 publications

(7 citation statements)

References 15 publications

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“…A summary of patients’ characteristics in selected papers are reported in [ Table 1 ]. [ 2 - 43 ] A total of 41 studies were selected, including 59 patients, 32 females (54.2%), 26 males (44%), and one patient of unknown sex, with a female/male ratio of 1.2/1. The mean age of the patients is of 47.69 years, ranging from 3 to 84 years.…”

Section: Resultsmentioning

confidence: 99%

“…It is like the primary intradural meningiomas except for the dural tail sign, which could not be seen in intradiploic meningiomas. [ 43 ] Furthermore, scintigraphy and positron emission tomography CT (PET-CT) can be used for the differential diagnosis, with bone scintigraphy that shows an increased metabolic activity of the specific bone region when positive. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

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Fronto-orbito-ethmoidal intradiploic meningiomas: A case study with systematic review

Crea

Grimod

Scalia

et al. 2021

Surgical Neurology International

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Background: Primary intradiploic meningiomas, extra-axial tumors arising primarily in the skull, are rare. The authors reported a complex case of intradiploic intraosseous metaplastic meningioma of the left medial wall and orbital roof with the left frontal sinus invasion and left ethmoidal body bone substitution. The authors also conducted a systematic review concerning diagnosis and management of patients affected by purely calvarial intradiploic meningiomas along with a focus on fronto-orbito-ethmoidal ones. Methods: A literature search was conducted using PubMed and Scopus databases according to preferred reporting items for systematic reviews and meta-analysis statement and with the following Mesh terms: Intradiploic, intraosseous, calvarial, and meningioma. Eligibility criteria were limited by the nature of existing literature on intradiploic meningiomas, consisting of only case series, and case reports. Results: A total of 128 published studies were identified through our search. 41 studies were included in this systematic review, 59 patients with a female/male ratio of 1.2/1. The mean age of the patients is of 47.69 years (range 3–84 years). Only seven out of 59 patients (11.9%) presented a complex intradiploic meningioma located in fronto-orbito-ethmoidal region like our case. In almost all patients, a gross-total resection was performed (96.6%) and only in two patients (3.4%) a subtotal resection was achieved. Conclusion: The authors shared this successfully treated case to add to the overall clinical experience in the management of this rare subtype tumor, with the hope that more studies are conducted to further address the mechanism of intradiploic meningiomas development.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fronto-orbito-ethmoidal intradiploic meningiomas: A case study with systematic review

Crea

Grimod

Scalia

et al. 2021

Surgical Neurology International

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“…Primary interosseous meningiomas develop from intraosseous meningeal cells. It may be either multipotent mesenchymal cells that differentiate into meningocytes; or sequestration of meningocytes during suture fusion during intra-uterine development or during head injury with fracture [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical resection should be as complete as possible, taking all the bone involved. A bone reconstruction could be considered immediately or in a second time [6,8,11]. An extemporaneous histology often helps to take the decision to make or not this plasty at the same time operative.…”

Section: Discussionmentioning

confidence: 99%

Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity

Zabsonre¹

2019

CNN

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Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseous meningioma managed in our department. Observation. Mr. ON, 16 years old, presented progressively a right temporal tumefaction causing an aesthetic prejudice. This tumefaction raised the flag of the right ear. It was covered by normal skin and there was moderate right hypo acoustics. CT scan showed a right sphenotemporal lesion with hyperdense contours and hypodense contents. It repressed the brain without invading it but affected the anatomic structures of the ear. Surgical procedure allowed for almost complete excision of the lesion. Histology of the operative specimen concluded to an intraosseous meningothelial meningioma. After a 4-year follow-up, the tumor residue remained stable. Conclusion. In addition to the diagnostic difficulty, we faced two other therapeutic difficulties. The first is that complete excision was not possible to avoid compromising a hearing always good. The second difficulty was related to the age of the patient who did not allow us to consider the cranial plasty before the end of the growth.

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“…Symptoms could vary depending upon location and size of the tumor and involvement of the adjacent structures. Most IOMs exist as painless expanding masses without abnormal neurological manifestations (32)). In four patients, expansion, exophthalmos, and orbital swelling associated with soft tissue components were observed in the affected bone.…”

Section: A B C Dmentioning

confidence: 99%

Cranial intraosseous meningiomas: CT and MRI findings

Gökçe

Beyhan²,

Acu³

2019

Turkish Neurosurgery

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AIM: To evaluate computed tomography (CT) and magnetic resonance imaging (MRI) findings of cranial intraosseous meningiomas (IOMs). MATERIAL and METHODS: This study included ten patients (six females and four males) with IOMs who underwent cranial CT and/ or MRI examinations during May 2009-June 2018. Lesions were classified based on the following locations: the sphenoid ridge, the calvarial convexity, other skull base bones, and the sphenoid ridge + calvarial extension. Bony extension, contour irregularity or radial bone spiculation, bony changes (hyperostotic, lytic, or mixed patterns), dural calcification, cerebral edema, and the presence of soft tissue were evaluated. RESULTS: A total of eleven IOMs were identified in ten patients. The age of patients was 46-80 (mean: 55.30 ± 9.84) years. Five of the lesions were located in the sphenoid ridge + calvarium, three in the sphenoid ridge, two in the skull base, and one in the calvarial convexity. Seven lesions exhibited radial bone spiculation. Moreover, nine lesions exhibited hyperostotic CT pattern; while, two exhibited a mixed pattern. Three IOMs were accompanied with dural calcification, and peritumoral edema was observed in six IOMs. CONCLUSION: IOMs are predominantly low-grade tumors, commonly located in the periorbital area and often accompanied by soft tissue components and dural infiltrations. They most commonly lead to radial bone spiculation and bone expansion. Patients primarily have single lesions but may occasionally have multiple ones.

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Frontal intradiploic meningioma with progressive intracranial invasion

Cited by 5 publications

References 15 publications

Fronto-orbito-ethmoidal intradiploic meningiomas: A case study with systematic review

Fronto-orbito-ethmoidal intradiploic meningiomas: A case study with systematic review

Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity

Cranial intraosseous meningiomas: CT and MRI findings

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