Extracranial Extension of Intracranial Atypical Meningioma En Plaque with Osteoblastic Change of the Skull

Journal of Korean Neurosurgical Society 2014³â 55±Ç 4È£ p.205 ~ p.207

Àå¼¼¿¬(Jang Se-Youn) - Seoul Medical Center Department of Neurosurgery
±èÃæÇö(Kim Choong-Hyun) - Hanyang University Guri Hospital Department of Neurosurgery
Á¤Áøȯ(Cheong Jin-Hwan) - Hanyang University Guri Hospital Department of Neurosurgery
±èÀç¹Î(Kim Jae-Min) - Hanyang University Guri Hospital Department of Neurosurgery

Abstract

Meningioma is a common primary tumor of central nervous system. However, extracranial extension of the intracranial meningioma is unusual, and mostly accompanied the osteolytic change of the skull. We herein describe an atypical meningioma having extracranial extension with hyperostotic change of the skull. The patient was a 72-year-old woman who presented a large mass in the right frontal scalp and left hemiparesis. Brain magnetic resonance imaging and computed tomography scans revealed an intracranial mass, diffuse meningeal thickening, hyperostotic change of the skull with focal extension into the right frontal scalp. She underwent total removal of extracranial tumor, bifrontal craniectomy, and partial removal of intracranial tumor followed by cranioplasty. Tumor pathology was confirmed as atypical meningioma, and she received adjuvant radiotherapy. In this report, we present and discuss a meningioma en plaque of atypical histopathology having an extracranial extension with diffuse intracranial growth and hyperostotic change of the skull.

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Atypical meningioma, Extracranial extension, Hyperostotic change, Meningioma en plaque
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