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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 231-233
DOI: 10.4103/ajns.AJNS_219_17
Case Report

Skull vault plasmacytoma mimicking parasagittal meningioma: “Mini-brain appearance”

Satyashiva Munjal
Department of Neurosurgery, Paras Hospital, Gurugram, Haryana
,
Amit Srivastava
Department of Neurosurgery, Paras Hospital, Gurugram, Haryana
,
Sunila Jain
1   Department of Histopathology, Sir Ganga Ram Hospital, New Delhi
,
Veer Mehta
Department of Neurosurgery, Paras Hospital, Gurugram, Haryana
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Plasmacytomas occur as lesions in soft tissue or bone. Skull vault plasmacytomas are rare lesions comprising 0.7% of all plasmacytomas. Workup for myeloma must be done in such cases to rule out multiple myeloma. Here, we report a case of a 63-year-old female who presented to us with a large skull vault swelling which appeared to mimic a parasagittal meningioma on imaging. Histopathological imaging revealed it to be a plasmacytoma. A retrospective review of the radiology revealed the characteristic “mini-brain appearance” in our case. Literature on the subject is also reviewed.

Key-words:

Mini brain - plasmacytoma - skull - vault

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Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Major NM, Helms CA, Richardson WJ. The “mini brain” plasmacytoma in a vertebral body on MR imaging. AJR 2000;175:261-3.
  • 2 Kuzeyli K, Duru S, Ceylan S, Aktürk F. Plasmacytoma of the calvarium. A case report. Neurosurg Rev 1995;18:139-42.
  • 3 Tanaka M, Shibui S, Nomura K, Nakanishi Y. Solitary plasmacytoma of the skull: A case report. Jpn J Clin Oncol 1998;28:626-30.
  • 4 Bakar B, Tekkok IH. Plasmacytoma of the calvarium vault. Turk Neurosurg 2010;22:S095-8.
  • 5 Nagatomo Y, Uno H, Maeda K, Matsuoka H, Tsuruda T, Okayama A, et al. Bulky plasmacytoma of the bone with intracranial invasion. Intern Med 1994;33:376-9.
  • 6 Matsuda M, Nakazawa T, Kizuki H, Matsumura K, Nakasu S, Handa J. Plasmacytoma of the calvarium vault – Case report. Neurol Med Chir (Tokyo) 1996;36:388-92.
  • 7 Okamoto K, Ito J, Furusawa T, Sakai K, Tokiguchi S, Sato M, et al. Solitary plasmacytomas of the occipital bone: A report of two cases. Eur Radiol 1997;7:503-6.
  • 8 Zigouris A, Drosos D, Alexiou GA, Fotakopoulos G, Mihos E, Pahatouridis D, et al. Primary plasmacytoma of the cranial vault: A case report. Cases J 2009;2:9154.
  • 9 Simoni P, Stulko J, Ben Mustapha S, Schoysman L, Bianchi E, Withofs N, et al. Bone mass of the calvarium. Skeletal Radiol 2013;42:1185.