Solitary fibrous tumor of the middle cranial fossa: Literature review and case report

Maiuri, Francesco; Mariniello, Giuseppe; Corvino, Sergio; Meglio, Vincenzo; Franca, Raduan Ahmed; De, Marialaura Del Basso

doi:10.1016/j.inat.2022.101568

Cited by 1 publication

(2 citation statements)

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“…As mentioned above, our leading diagnosis before receiving the final pathology report was meningioma, a very common misdiagnosis for intracranial SFTs, as meningiomas are substantially more common and have a similar appearance on MRI. Among 19 cases of SFTs in the middle cranial fossa reviewed by Maiuri et al, meningioma was the only preoperative diagnosis reported (15 cases were “not specified," and four admitted to suspecting meningioma) [ 4 ]. Another recently published review of 21 craniospinal SFT cases performed by Piscopo et al reported that 10 of their cases received an initial diagnosis of meningioma on radiological examination [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the study found that supratentorial location was more common than infratentorial position [ 3 ]. Regarding tumor location, the middle cranial fossa seems to be exceptionally rare, given that a literature review spanning from 1997 to 2021 was only able to isolate 16 publications featuring 19 case studies of SFTs in this anatomic region [ 4 ]. Our case is that of an SFT abutting the right medial sphenoid wing, which constitutes part of the anterior border of the middle cranial fossa.…”

Section: Introductionmentioning

confidence: 99%

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Intracranial Solitary Fibrous Tumor: A Case of a 21-Year-Old Male With Olfactory Hallucination

Rudolph,

Grice,

Lawless

2024

Cureus

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Meningeal solitary fibrous tumors (SFTs) are a rare central nervous system neoplastic process, resulting in frequent misdiagnosis as meningioma prior to pathologic analysis. Appropriate diagnosis is essential to lowering morbidity and mortality, as Grade II or III SFTs are aggressive neoplasms that possess metastatic potential. The existing data may suggest that intracranial SFTs primarily afflict those in their fourth through sixth decades of life. However, we present the case of a patient outside this demographic presenting with symptoms that we were unable to identify in any prior reports. A 21-year-old male in the United States Navy presented to the emergency department (ED) with a two-month history of progressive headaches, leading to nausea and emesis. The patient also endorsed a daily incidence of the same olfactory hallucination followed by several minutes of palpitations, flushing, and dizziness. His neurologic exam was unremarkable, but imaging in the ED revealed a large mass abutting the right medial sphenoid wing. The radiographic appearance of the mass with a dural tail led to a preoperative diagnosis of meningioma. However, pathologic analysis following gross total resection identified the mass as an SFT. A brief literature review complementary to this case underscored the high variability of intracranial SFT case presentations with a relative scarcity of epidemiologic data due to rarity. This review identified that it was common to initially diagnose SFTs as meningioma, similar to this particular case. This emphasizes the importance of an appropriate pathologic diagnosis. This case adds to the existing literature as anecdotal evidence of SFT occurring in a young patient and a unique symptom profile most notable for olfactory hallucination and dysautonomia as features of focal seizure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%