Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Meningioma en Plaque of Parasagittal Region Presented with Recurrent Venous Infarction

  • Park, Ho-Kwon (Departments of Neurosurgery, Konkuk University Hospital) ;
  • Koh, Young-Cho (Departments of Neurosurgery, Konkuk University Hospital) ;
  • Kang, Hyun-Seung (Departments of Neurosurgery, Konkuk University Hospital) ;
  • Lim, So-Dug (Departments of Pathology, Konkuk University Hospital)
  • Published : 2006.12.31
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Abstract

A case of parasagittal meningioma en plaque with a peculiar clinical presentation is reported with a review of the literature. A 72-year-old woman presented with dysphasia and right hemiparesis. Computed tomography and magnetic resonance imaging demonstrated focal edema of left frontal lobe and a thick sheet-like parasagittal enhancing lesion with extension along the falx cerebri and adjacent sulcal enhancement. Differential diagnosis included idiopathic hypertrophic pachymeningitis, meningeal neurosarcoidosis, metastasis and meningioma en plaque. Cerebral angiography revealed occlusion of the anterior one-third of the superior sagittal sinus as well as a faint tumor blush supplied from the anterior branch of the middle meningeal artery. At surgery, the tumor invading the dura and skull was removed totally but the tumor invaded into the superior sagittal sinus was removed subtotally. The tumor was confirmed to be a transitional meningioma on pathological examination.

Keywords

References

  1. Akutsu H, Sugita K, Sonobe M, Matsumura A : Parasagittal meningioma en plaque with extracranial extension presenting diffuse massive hyperostosis of the skull. Surg Neurol 61 : 165-169, 2004 https://doi.org/10.1016/S0090-3019(03)00521-4
  2. Bauer J, Johnson RF, Levy JM, Pojman DV, Ruge JR : Tuberculoma presenting as an en plaque meningioma. Case report. J Neurosurg 85 : 685-688, 1996 https://doi.org/10.3171/jns.1996.85.4.0685
  3. Brooks ML, Wang AM, Black PM, Haikal N : Subdural mass lesion secondary to sarcoid granuloma MR and CT findings and differential diagnosis. Comput Med Imaging Graph 13 : 199-205, 1989 https://doi.org/10.1016/0895-6111(89)90201-2
  4. Castellano F, Guidetti B, Olivecrona H : Pterional meningiomas 'en plaque'. J Neurosurg 9 : 188-196, 1952 https://doi.org/10.3171/jns.1952.9.2.0188
  5. De Jesus O, Toledo MM : Surgical management of meningioma en plaque of the sphenoid ridge. Surg Neurol 55 : 265-269, 2001 https://doi.org/10.1016/S0090-3019(01)00440-2
  6. Derome PJ, Guiot G : Bone problems in meningiomas invading the base of the skull. Clin Neurosurg 25 : 435-451, 1978 https://doi.org/10.1093/neurosurgery/25.CN_suppl_1.435
  7. Goel A, Bhayani R, Desai AP, Goel N : Extensive extraaxial blastomycosis granuloma at the skull base-case report. Neurol Med Chir (Tokyo) 36 : 393-395, 1996 https://doi.org/10.2176/nmc.36.393
  8. Honeybul S, Neil-Dwyer G, Lang DA, Evans BT, Ellison DW : Sphenoid wing meningioma en plaque : a clinical review. Acta Neurochir (Wien) 143 : 749-757; discussion 758, 2001 https://doi.org/10.1007/s007010170028
  9. Kashimura H, Beppu T, Wada T, Yoshida Y, Suzuki M, Ogawa A : A case of meningioma en plaque : review of 73 cases in literature. No Shinkei Geka 12 : 1097-1110, 1997
  10. Kim KS, Rogers LF, Goldblatt D : CT features of hyperostosing meningioma en plaque. Am J Roentgenol 149 : 1017-1023, 1987 https://doi.org/10.2214/ajr.149.5.1017
  11. Kim SM, Jang KS, Min MC, Joo WI : Convexity meningioma en plaque presenting with diffuse hyperostosis of the skull. J Korean Neurosurg Soc 39 : 159-161, 2006
  12. Kirkwood JR, Margolis MT, Newton TH : Prostatic metastasis to the base of the skull simulating meningioma en plaque. Am J Roentgenol Radium Ther Nucl Med 112 : 774-778, 1971 https://doi.org/10.2214/ajr.112.4.774
  13. Kleihues P, Cavenee WK, eds.: Pathology and Genetics of Tumours of the Nervous System, Lyon : International Agency for Research on Cancer, 2000, pp178-179
  14. Komotar RJ, Clatterbuck RE : Coccidioidomycosis of the brain, mimicking en plaque meningioma. J Neurol Neurosurg Psychiatry 74 : 806, 2003 https://doi.org/10.1136/jnnp.74.6.806
  15. Lee YC, Chueng YC, Hsu SW, Lui CC : Idiopathic hypertrophic cranial pachymeningitis : case report with 7 years of imaging follow-up. AJNR Am J Neuroradiol 24 : 119-123, 2003
  16. Maroon JC, Kennerdell JS, Vidovich DV, Abla A, Sternau L : Recurrent spheno-orbital meningioma. J Neurosurg 80 : 202-208, 1994 https://doi.org/10.3171/jns.1994.80.2.0202
  17. Matsushige T, Yoshioka H, Okita S, Yamasaki F, Suguyama K, Arita K, et al : A case of convexity meningioma en plaque. No Shinkei Geka 29 : 145-150, 2001
  18. Muzumdar DP, Vengsarkar US, Bhatjiwale MG, Goel A : Diffuse calvarial meningioma : a case report. J Postgrad Med 47 : 116-118, 2001
  19. Osenbach RK, Blumenkopf B, Ramirez H Jr, Gutierrez J : Meningeal neurosarcoidosis mimicking convexity en-plaque meningioma. Surg Neurol 26 : 387-390, 1986 https://doi.org/10.1016/0090-3019(86)90142-4
  20. Pompili A, Derome PJ, Visot A, Guiot G : Hyperostosing meningiomas of the sphenoid ridge--clinical features, surgical therapy, and long-term observations : review of 49 cases. Surg Neurol 17 : 411-416, 1982 https://doi.org/10.1016/S0090-3019(82)80006-2
  21. Shapiro R, Janzen AH : Osteoblastic metastases to the floor of the skull simulating meningioma en plaque. Am J Roentgenol Radium Ther Nucl Med 81 : 964-966, 1959
  22. Skuna S, Chaiyabud P, Pakdirat B, Pakdirat P : Convexity hyperostosing meningioma en plaque : a case report. J Med Assoc Thai 76 : 238- 242, 1993
  23. Tobias S, Prayson RA, Lee JH : Necrotizing neurosarcoidosis of the cranial base resembling an en plaque sphenoid wing meningioma : case report. Neurosurgery 51 : 1290-1294; discussion 1294, 2002 https://doi.org/10.1097/00006123-200211000-00030