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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 589-594
DOI: 10.4103/ajns.AJNS_534_20
Case Report

Giant intraosseous meningioma associated with calvarial hyperostosis and subcutaneous invasion: Case reports and literature review

Keisuke Sasaki
Department of Neurosurgery, Tohoku University, Graduate School of Medicine, Sendai, Miyagi
,
Atsushi Saito
1   Department of Neurosurgery, Kohnan Hospital, Sendai, Miyagi
,
Yasuo Nishijima
2   Department of Neurosurgery, National Hospital Organization Sendai Medical Center, Sendai, Miyagi
,
Takashi Inoue
2   Department of Neurosurgery, National Hospital Organization Sendai Medical Center, Sendai, Miyagi
,
Shinsuke Suzuki
2   Department of Neurosurgery, National Hospital Organization Sendai Medical Center, Sendai, Miyagi
,
Masayuki Ezura
2   Department of Neurosurgery, National Hospital Organization Sendai Medical Center, Sendai, Miyagi
,
Hiroshi Uenohara
2   Department of Neurosurgery, National Hospital Organization Sendai Medical Center, Sendai, Miyagi
,
Teiji Tominaga
Department of Neurosurgery, Tohoku University, Graduate School of Medicine, Sendai, Miyagi
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Most meningiomas grow intracranially, and primary intraosseous meningioma is rarely reported. We present two rare surgical cases of giant intraosseous meningothelial meningioma. The first patient was a 35-year-old male with parietal skull deformity without neurological symptoms. Total resection was successful. The origin was the parasagittal intraosseous layer, and the superior sagittal sinus was partially opened. The second patient was a 20-year-old female with a slightly upward protrusion of the frontal skull without pain or neurological deficits. The lesion was totally resected, and the origin was the parasagittal intraosseous layer invading into the dura matter and subcutaneous layer. The clinical management of these cases presented a surgical challenge because of detachment and repair from venous sinuses. The current report provides surgical tips for such rare diseases and is a good reference for the future treatment of similar diseases.

Key-words:

Calvarium - intraosseous meningioma - meningioma

Financial support and sponsorship

Nil.




Publication History

Received: 08 December 2020

Accepted: 21 March 2021

Article published online:
16 August 2022

© 2021. 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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