Welcome to International Journal of Anatomy and Research

Type of Article: Case Series

Year: 2016 | Volume 4 | Issue 3 | Page No. 2784-2788

Date of Publication: 31-08-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.332

EXTRACRANIAL MENINGIOMA PRESENTING AS INFRATEMPORAL FOSSA MASS: A CASE SERIES

Sunil Mathew *¹, Reddy Ravikanth ², Vijaykishan B ³.

^*1 Post-graduate student in Anatomy, St. John’s Medical College, Bangalore, Karnataka, India.

² Post-graduate student in Radiology, St. John’s Medical College, Bangalore, Karnataka, India.

³ Senior resident in Anatomy, St. John’s Medical College, Bangalore, Karnataka, India.

Address: Dr. Sunil Mathew, MBBS, Post-graduate student in Anatomy, St. John’s Medical College, Bangalore – 560034. Mob: +91-7899513297
E-Mail: sunil.mathew@stjohns.in

ABSTRACT

Extradural meningioma occurs as extracranial extension of intracranial tumor. In this series we present two uncommon cases of extracranial meningioma extending into the infratemporal fossa (ITF). One patient presented as left sided facial pain and cheek swelling and another patient as swelling outer to the lateral canthus of eye, of 2 years’ duration each. Both the cases had foramina or fissural extensions. Detection of possible intracranial extension and involvement of adjacent structures is mandatory before surgery. The close proximity of the infratemporal area to the intracranial structures, the orbit, the paranasal sinuses, the nasopharynx, and the facial area demands careful planning of surgical excision and combined procedures. 
KEY WORDS: Meningioma, Extracranial, Infratemporal Fossa, CT, MRI.

REFERENCES

1. Baeur GP, Volk MS, Siddiqui  SY, et al. Burkitts lymphoma of the parapharyngeal space. Arch otolaryngol Head Neck Surgery 1993;119:117-20.
2. Kawahara N, Sasaki T, Nibu K, et al. Dumbbell type jugular foramen meningioma extending both into the posterior cranial fossa & into the parapharyngeal space: Report of 2 cases with vascular reconstruction. Acta Neurochir 1998;140:323-30.
3. A.Amit, K. S. Raod, H. Jagadeesh and S. Lathika, Extracranial meningioma in the vicinity of the temporal bone: A difficult  preoperative diagnosis, Surgical Neurology 2007;67:102-105.
4. L.P. Rowland, Tumors of the meninges, in: M. D. Baltimore (Ed.), Merritt’s Textbook of Neurology (9th ed.), Williams & Wilkins, 1995, pp. 329-335.
5. C. O. Robert, B. P. Siloo and B. K. Donald, Primary extracranial meningioma of temporal bone, Otolaryngology Head and Neck Surgery 1998;118:690-694.
6. J. R. Elisabeth, P. B. John and M. C. Sherman et al., Primary extracranial meningiomas: An analysis of 146 cases, Head and Neck Pathology 2009;3:116-130.
7. J. H. Min, S. H. Kang, J. B. Lee, Y. G. Chung and H. K. Lee, Hyperostotic meningioma with minimal tumor invasion into the skull, Neurology Med Chir (Tokyo) 2005;45:480-483.

Sunil Mathew, Reddy Ravikanth, Vijaykishan B. EXTRACRANIAL MENINGIOMA PRESENTING AS INFRATEMPORAL FOSSA MASS: A CASE SERIES. Int J Anat Res 2016;4(3):2784-2788. DOI: 10.16965/ijar.2016.332