Case report: Rare convexity meningeal chondroma mimicking a meningioma.

Autor: Abreu PG; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Pappamikail L; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Pontinha C; Department of Anatomical Pathology, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal., Drago J; Department of Radiology, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Lourenço JA; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Romero C; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Teles P; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal., Correia JP; Department of Neurosurgery, Centro Hospitalar Universitário do Algarve, Faro, Portugal.
Jazyk: angličtina
Zdroj: Surgical neurology international [Surg Neurol Int] 2021 Aug 24; Vol. 12, pp. 426. Date of Electronic Publication: 2021 Aug 24 (Print Publication: 2021).
DOI: 10.25259/SNI_558_2021
Abstrakt: Background: Intracranial chondromas account for 0.2-0.3% of all intracranial neoplastic lesions and less than a quarter arise in the convexity or falx. Despite its benign nature, exceedingly rare malignant transformations exist. The misdiagnosis with meningiomas is frequent and may be related with chondromas' similar insidious clinical presentation and imaging features. Standalone surgery is advised and complete resection provides the definitive treatment.
Case Description: A 44-year-old female presents with insidious headache, visual disturbances, and papilledema. The imaging studies were compatible with frontal parasagittal meningioma. Surgery revealed a meningeal based mass, mostly avascular and with a well-demarked surgical plane from the brain parenchyma. Complete resection with meningeal margins was achieved and the histopathologic examination revealed a chondroma. The patient symptoms subsided and no surgical complications existed.
Conclusion: Intracranial convexity chondromas constitute a rare differential diagnosis for meningiomas. The present case reinforces the current scarce data and serves as reminder for clinicians diagnosing and treating intracranial tumors.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Surgical Neurology International.)
Databáze: MEDLINE