Primary Intraosseous Meningioma

  • Cho, Won-Sang (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Im, So-Hyang (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Oh, Chang-Wan (Department of Neurosurgery, Seoul National University Bundang Hospital)
  • Published : 2005.03.31

Abstract

Meningioma is usually known to occur stuck to the dura mater, but extradural meningioma occurs rarely. Most of the extradural meningiomas are located in the head and neck and we report a case of the primary intraosseous meningioma in the orbit. A 50-year old woman presented with the left eye hyperemia and exophthalmos. Neuroimaging modalities showed hyperostosis at the left sphenoid and orbital wall. On microscopic view, spindle cells and psammoma bodies between the woven bones were observed. The origin of the intraosseous meningioma is explained with various potent possibilities and differential diagnosis thoroughly explored.

Keywords

References

  1. Adada B, Al-Mefty O : Fibrous dysplasia of the clivus. Neurosurgery 52 : 318-323, 2003 https://doi.org/10.1227/01.NEU.0000043694.77162.6E
  2. Azar-Kia B, Sarwar M, Marc JA, Schechter MM : Intraosseous meningioma. Neuroradioloy 6 : 246-253, 1974 https://doi.org/10.1007/BF00345784
  3. Crawford TS, Kleinschmidt-DeMasters BK, Lillehei KO : Primary intraosseous meningioma. J Neurosurg 83 : 912-915, 1995 https://doi.org/10.3171/jns.1995.83.5.0912
  4. Harris WH, Dudley HR, Barry RV : The natural history of fibrous dysplasia. J Bone Joint Surg 44B : 207-233, 1962
  5. Hoye SJ, Hoar CS Jr, Murray JE : Extracranial meningioma presenting as a tumor of the neck. Am J Surg 100 : 486-489, 1960 https://doi.org/10.1016/0002-9610(60)90394-9
  6. Kanmaz B, Weissmann DE, Akansel G, Kitapci M, Collier BD : Intraosseous meningioma : Appearance on bone scintigraphy over five years. J Nucl Med 34 : 961-962, 1993
  7. Lang FF, Macdonald OK, Fuller GN, DeMonte F : Primary extradural meningiomas : a report on nine cases and review of the literature from the era of computerized tomography scanning. J Neurosurg 93 : 940-950, 2000 https://doi.org/10.3171/jns.2000.93.6.0940
  8. Oka K, Hirakawa K, Yoshida S, Tomonaga M : Primary calvarial meningiomas. Surg Neurol 32 : 304-310, 1989 https://doi.org/10.1016/0090-3019(89)90235-8
  9. Park SH, Kang JK, Jung HT, Doh JW : Primary intraosseous calvarial meningioma : A case report. J Korean Neurosurg Soc 26 : 297-300, 1997
  10. Shuangshotis S : Primary meningioma outside the central nervous system : Meningioma. New York : Raven Press, 1991, pp107-128