Intradiploic meningioma of the skull: Case report and review of the literature

Monteiro, Joana; Baptista, App; Trabulo, A.; Almeida, Carla

doi:10.1016/s1130-1473(96)70745-5

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…These pathologies are mainly osteoblastic, however some few cases reported osteolytic nature of the lesions. Osteolytic type is considered more malignant than the osteoblastic type (26) . In our series all cases of osteolytic meningioma were WHO grade II meningiomas.…”

Section: Resultsmentioning

confidence: 99%

Calvarial Lesions: En-bloc Resection Is a Safe Surgical Procedure

Mourad

Wahdan

Rizk

2023

The Egyptian Journal of Hospital Medicine

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Background: Calvarium could be a target site for either primary or secondary tumors. Calvarial tumors present usually as painless palpable masses, which are asymptomatic neurologically. Objective: To perform a retrospective analysis of the calvarial lesions operated in our departments of neurosurgery. Patients and Methods: We retrospectively reviewed 41 consecutive patients operated for calvarial masses between 2014 and 2020 at Benha University Hospital and Merciful Brothers Hospital Trier. Clinical data were retrospectively analyzed. The diagnosis was confirmed by the histopathological examination. Results: Calvarial lesions included in this series were divided into 3 categories: tumorlike lesions, primary, and secondary tumors. The group of tumor-like lesions involved eosinophilic granuloma (3 patients), epidermoid cyst (3 patients), and fibrous dysplasia (5 patients). The primary tumors included hemangiomas (5 patients), osteomas (5 patients), and meningiomas (11 patients). Nine patients had metastasis. Calvarial lesions mostly presented with local swelling, sometimes local pain and rarely neurologic deficit. En-bloc resection was performed followed by cranioplasty. Pain was improved postoperatively in cases presented with painful swelling. The only postoperative complication was one case of wound infection. Conclusion: Although a thorough preoperative radiological evaluation in cases of calvarial lesions could be helpful in narrowing the diagnosis spectrum of differential diagnosis, en-bloc resection followed by cranioplasty could be considered as a valuable treatment option. The next step in treatment of such patients vary widely according to the histopathological findings.

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Section: Resultsmentioning

confidence: 99%

Calvarial Lesions: En-bloc Resection Is a Safe Surgical Procedure

Mourad

Wahdan

Rizk

2023

The Egyptian Journal of Hospital Medicine

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“…Of these, osteolytic type is more malignant than osteoblastic type of meningioma. [9] In our study, we encountered a 53-year-old female patient referred a slowly growing painless lump in the right frontal region for 1 year and 6 months with a history of trauma. On excision, histopathological report was intradiploic meningioma [ Figure 3].…”

Section: Operative Procedures and Treatmentmentioning

confidence: 99%

Osteolytic Skull Lesions–Our Experience

Sandeep

Banga

Saha

et al. 2017

Journal of Neurosciences in Rural Practice

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Objective:To present an overview of varied clinical presentations, investigations and treatment options for Osteolytic skull lesions.Study Design:It is a prospective study.Materials and Methods:We conducted this study from January 2013 to December 2015 in the Department of Neurosurgery, Nil Ratan Sircar Medical College and Hospital, Kolkata. During this period, 14 patients presented with osteolytic skull lesions through the outpatient department. All patients were thoroughly investigated with appropriate hematological and radiological investigations and treated following admission, and surgery was performed in the Neurosurgery Department. All were followed regularly in OPD.Results:Total 14 patients were included in the study. Amongst these 7 were male and 7 female. Age group of patients ranged from 5 to 72 years. Of 14 cases, three cases had dermoid cyst, four cases had metastasis, and one each case had epidermoid cyst, intradiploic meningioma, benign cystic lesion, tuberculosis, histiocytosis X, hemangioma, and osteomyelitis. All underwent diagnostic/therapeutic procedures and referred for Radio or chemotherapy where indicated.Conclusion:All scalp/skull lesions need careful clinical correlation, appropriate radiological investigations to establish diagnosis and subject them to suitable treatment.

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“…It is postulated that they could arise from arachnoid cell remnants captured at inappropriate sites during embryonic development or implantation of these cells by some mechanical insult such as trauma or dural tear. [ 23 ] Their origin can also be attributed to cellular dedifferentiation within the diploic space or cranial nerve sheath cells during their course through diploe. [ 37 ] These tumors are observed mostly within the first two decades of life and histologically are usually of psammomatous type.…”

Section: Introductionmentioning

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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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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Intradiploic meningioma of the skull: Case report and review of the literature

Cited by 4 publications

References 17 publications

Calvarial Lesions: En-bloc Resection Is a Safe Surgical Procedure

Calvarial Lesions: En-bloc Resection Is a Safe Surgical Procedure

Osteolytic Skull Lesions–Our Experience

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

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