Skull Base 1998; 8(4): 215-219
DOI: 10.1055/s-2008-1058186
Case Reports

© Thieme Medical Publishers, Inc., 381 Park Avenue South, New York, NY 10016

Xanthogranuloma of the Anterior Skull Base: A Case Report

Karl Roessler, Klaus Novak, Christa Jarius, Harald Goerzer, Christian Matula
Further Information

Publication History

Publication Date:
03 March 2008 (online)

Abstract

A case of a xanthogranuloma arising in the anterior skull base involving the bone of the left orbital roof, the dura mater, and the periorbit is presented. The lesion was completely removed by a supraorbital "eyebrow" skin incision using frameless stereotactic image guidance. A reconstruction of the orbital roof was performed using a titanium mesh graft. The neuropathological investigation revealed all the characteristics of a xanthogranuloma. Intracranially, xanthogranulomas appear as rare tumors of the dura or choroid plexus, usually arising in association with histocytosis X or familial hyperlipoproteinemia. One case not associated with these diseases is discussed.