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Singh J, Patel U, Backous D. Primary external auditory canal meningioma: Case report and review of the literature. Am J Otolaryngol 2022; 43:103215. [PMID: 34536924 DOI: 10.1016/j.amjoto.2021.103215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 09/05/2021] [Indexed: 11/17/2022]
Abstract
Meningiomas are tumors that arise from arachnoid cells attached to both the pia mater and the inner portion of the arachnoid. They are common intracranial tumors, representing 12-25% of intracranial neoplasms. Intracranial meningiomas can spread extracranially to involve surrounding structures, including the ear and temporal bone. Ectopic meningiomas, described as primary meningiomas with no intracranial involvement, are rare. We describe a case of a primary external auditory canal meningioma with no evidence of intracranial involvement. We present pre-operative imaging findings proving no intracranial involvement prior to surgical intervention. A literature review of this uncommon clinical entity is presented and a discussion regarding its prognosis and treatment is reviewed.
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Affiliation(s)
- Jeffrey Singh
- Puget Sound Ear, Nose and Throat, 21911 76th Ave W, Edmonds, WA, 98026, United States of America.
| | - Uresh Patel
- Swedish Neuroscience Institute, 747 Broadway, Seattle, WA 98122, United States of America
| | - Douglas Backous
- Puget Sound Ear, Nose and Throat, 21911 76th Ave W, Edmonds, WA, 98026, United States of America
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Zeleník K, Hanzlíková P, Blatová B, Formánek M, Komínek P. Temporal bone meningiomas: emphasizing radiologic signs to improve preoperative diagnosis. Eur Arch Otorhinolaryngol 2020; 278:271-273. [PMID: 32533237 DOI: 10.1007/s00405-020-06110-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 06/03/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Temporal bone meningioma is an extremely rare disease. Lack of clinical attention due to its rarity might lead to delayed diagnosis. This short communication aims to emphasize radiologic signs of temporal bone meningiomas to improve preoperative diagnosis. METHODS Radiological characteristics of temporal bone meningiomas are discussed. RESULTS Temporal bone meningioma is characterized by diffuse "hairy" trabecular hyperostosis without the destruction of trabecular structures, bone thickening, and irregular surface margins of the temporal bone on computed tomography. The dural tail sign is a unique feature of temporal bone meningioma on magnetic resonance imaging. CONCLUSION Otolaryngologists certainly should be aware of characteristic radiologic signs of temporal bone meningiomas. Using modern computed tomography and magnetic resonance imaging protocols enables with a high degree of accuracy to distinguish temporal bone meningiomas from other more common entities in this location.
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Affiliation(s)
- Karol Zeleník
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 00, Ostrava, Czech Republic. .,Department of Craniofacial Surgery, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic.
| | - Pavla Hanzlíková
- Department of Imaging Methods, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic
| | - Barbora Blatová
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 00, Ostrava, Czech Republic.,Department of Craniofacial Surgery, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic
| | - Martin Formánek
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 00, Ostrava, Czech Republic.,Department of Craniofacial Surgery, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic
| | - Pavel Komínek
- Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 00, Ostrava, Czech Republic.,Department of Craniofacial Surgery, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic
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Evrard D, Daval M, Ayache D. Otitis Media with Effusion Revealing Underlying Meningioma. J Int Adv Otol 2018; 14:155-156. [PMID: 29764792 DOI: 10.5152/iao.2018.4079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Otitis media with effusion (OME) is a very common condition in the current clinical practice. Usually idiopathic, it may sometimes be the consequence of primary diseases. Extracranial meningioma is rare, and even more when involving the ear and temporal bone. We report a case of temporal meningioma spreading to the middle ear and mastoid presenting as an OME. The diagnosis relies on a thorough imaging evaluation with computed tomography and magnetic resonance imaging. This short report aims to warn the otolaryngologist of this rare situation to prevent any delay in diagnosing and managing such a condition.
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Affiliation(s)
- Diane Evrard
- Department of Otolaryngology, Head and Neck Surgery, Fondation A. de Rothschild, Paris, France
| | - Mary Daval
- Department of Otolaryngology, Head and Neck Surgery, Fondation A. de Rothschild, Paris, France
| | - Denis Ayache
- Department of Otolaryngology, Head and Neck Surgery, Fondation A. de Rothschild, Paris, France
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Mohme M, Emami P, Matschke J, Regelsberger J, Westphal M, Eicker SO. Secretory Meningiomas. Neurosurg Clin N Am 2016; 27:181-7. [DOI: 10.1016/j.nec.2015.11.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Liu Y, Wang H, Shao H, Wang C. Primary extradural meningiomas in head: a report of 19 cases and review of literature. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2015; 8:5624-5632. [PMID: 26191274 PMCID: PMC4503145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 03/16/2015] [Indexed: 06/04/2023]
Abstract
Primary extradural meningiomas (PEMs) in head were rare tumors. Here we analyzed 231 cases of PEMs in head (including our 19 cases) reported in the literature during the CT era. We found that PEMs in head accounted for 0.8%-1.8% of all meningiomas. The constituent ratio of male PEMs in head increases markedly. PEMs in head have bimodal distribution of ages. The most common presenting symptom was a mass in the region of the lesion. The average duration of symptom was 2.38 years. The skull convexities, paranasal sinuse and nasal cavity, and middle ear ranked as the top three of all sites of tumors. The most common type was Type II (calvarial or diploic). Among 231 cases, total, subtotal and partial removals of tumors were achieved in 89%, 5.5% and 3.1% respectively, and no death occurred perioperatively in all patients. 90% were benign, 5.6% atypical and 3.9% malignant in the 231 cases. The most common histopathological subtype was meningothelial meningioma. The recurrence and tumor-related death rates were 22.4% and 8.2% respectively during a mean 3.03-year follow-up. Our results demonstrate that PEMs in head have some marked clinical characteristics compared with primary intradural meningiomas. Total tumor removal together with a wide excision of all involved tissues followed by the reconstruction of tissue defects is the best surgical project. The prognoses are good in the benign cases after complete surgical resections.
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Affiliation(s)
- Yuguang Liu
- Department of Neurosurgery, Qilu Hospital of Shandong University, Brain Science Research Institute of Shandong UniversityJinan, Shandong Province, PR China
| | - Hongwei Wang
- Department of Neurosurgery, Qilu Hospital of Shandong University, Brain Science Research Institute of Shandong UniversityJinan, Shandong Province, PR China
| | - Huaqiang Shao
- Department of Special Examination, Affiliated Hospital of Shandong University of Chinese Traditional MedicineJinan, Shandong Province, PR China
| | - Chuanwei Wang
- Department of Neurosurgery, Qilu Hospital of Shandong University, Brain Science Research Institute of Shandong UniversityJinan, Shandong Province, PR China
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Nicolay S, De Foer B, Bernaerts A, Van Dinther J, Parizel PM. A case of a temporal bone meningioma presenting as a serous otitis media. Acta Radiol Short Rep 2014; 3:2047981614555048. [PMID: 25535569 PMCID: PMC4271712 DOI: 10.1177/2047981614555048] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Accepted: 09/20/2014] [Indexed: 11/21/2022] Open
Abstract
We report the imaging features of a case of a temporal bone meningioma extending into the middle ear cavity and clinically presenting as a serous otitis media. Temporal bone meningioma extending in the mastoid or the middle ear cavity, however, is very rare. In case of unexplained or therapy-resistant serous otitis media and a nasopharyngeal tumor being ruled out, a temporal bone computed tomography (CT) should be performed. If CT findings are suggestive of a temporal bone meningioma, a magnetic resonance imaging (MRI) examination with gadolinium will confirm diagnosis and show the exact extension of the lesion.
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Affiliation(s)
- Simon Nicolay
- Department of Radiology, GZA Hospital Sint-Augustinus, Wilrijk, Belgium ; Department of Radiology, Antwerp University Hospital (UZA) and University of Antwerp (UA), Belgium
| | - Bert De Foer
- Department of Radiology, GZA Hospital Sint-Augustinus, Wilrijk, Belgium
| | - Anja Bernaerts
- Department of Radiology, GZA Hospital Sint-Augustinus, Wilrijk, Belgium
| | - Joost Van Dinther
- European Institute for ORL, GZA Hospital Sint-Augustinus, Wilrijk, Belgium
| | - Paul M Parizel
- Department of Radiology, Antwerp University Hospital (UZA) and University of Antwerp (UA), Belgium
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Abstract
We have described a primary esophageal meningioma (MG) clinical case diagnosed in a 62-year-old woman; also, we review the literature about extracranial MGs. To our knowledge, this is the first case report of an extracranial MG occurring primarily in the esophagus. These are benign neoplasms reported classically in the central nervous system (CNS). The extrancranial MGs have histopathologic and inmunohistochemical features identical to those observed in CNS MGs; thus, the main diagnostic hurdle is to keep it in the differential for lesions occurring outside the CNS.
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Keereweer S, Metselaar R, Dammers R, Hardillo J. Chronic Serous Otitis Media as a Manifestation of Temporal Meningioma. ACTA ACUST UNITED AC 2011; 73:287-90. [DOI: 10.1159/000330278] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2011] [Accepted: 05/24/2011] [Indexed: 11/19/2022]
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