Atypical Intratemporal Meningioma Masquerading as Otitis Media—Clinical and Radiological Diagnostic Dilemma

Autor: Manasi Moon, Mrinal Matish, Abhishek A Rathi
Rok vydání: 2021
Předmět:
Zdroj: Indian Journal of Radiology and Imaging, Vol 31, Iss 02, Pp 476-479 (2021)
The Indian Journal of Radiology & Imaging
ISSN: 1998-3808
0971-3026
DOI: 10.1055/s-0041-1734410
Popis: Meningiomas are the most common intracranial extra-axial neoplasms with mostly straightforward radiological diagnosis; however, they can have unusual clinical and imaging manifestations posing diagnostic dilemma for radiologists and clinicians. The objective of this case report is to highlight the infrequent and misleading presentations of meningiomas to make an accurate diagnosis. A 65-year-old male patient presented with complaints of left recurrent otitis media and facial nerve palsy for past 6 months. On imaging, an aggressive predominantly cystic intracranial neoplasm was found in the left temporal fossa extending into the middle and external ear. Histopathological examination of the excised tumor revealed WHO grade I meningothelial meningioma. Meningiomas can show atypical imaging features such as large meningeal cysts, heterogenous or ring enhancement and aggressive features such as bone erosion. They can invade the middle ear and should be thought of while dealing with nonresponsive cases of otitis media.
Databáze: OpenAIRE
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