En Plaque Meningiomas: A Narrative Review

Theresa A. Elder; Hana Yokoi; A. Jessey Chugh; Carlito Lagman; Osmond Wu; Christina Huang Wright; Abhishek Ray; Nicholas Bambakidis

doi:10.1055/s-0039-3402012

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2021; 82(S 03): e33-e44
DOI: 10.1055/s-0039-3402012

Original Article

En Plaque Meningiomas: A Narrative Review

Theresa A. Elder

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

,

Hana Yokoi

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

A. Jessey Chugh

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

Carlito Lagman

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

Osmond Wu

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

Christina Huang Wright

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

Abhishek Ray

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

,

Nicholas Bambakidis

¹Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

²Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

› Author Affiliations

Abstract

Background En plaque meningiomas are a rare subtype of meningiomas that are frequently encountered in the spheno-orbital region. Characterized by a hyperostotic and dural invasive architecture, these tumors present unique diagnostic and treatment considerations.

Objective The authors conduct a narrative literature review of clinical reports of en plaque meningiomas to summarize the epidemiology, clinical presentation, diagnostic criteria, and treatment considerations in treating en plaque meningiomas. Additionally, the authors present a case from their own experience to illustrate its complexity and unique features.

Methods A literature search was conducted using the MEDLINE database using the following terminology in various combinations: meningioma, meningeal neoplasms, en plaque, skull base, spheno-orbital, and sphenoid wing. Only literature published in English between 1938 and 2018 was reviewed. All case series were specifically reviewed for sufficient data on treatment outcomes, and all literature was analyzed for reports of misdiagnosed cases.

Conclusion En plaque meningiomas may present with a variety of symptoms according to their location and degree of bone invasion, requiring a careful diagnostic and treatment approach. While early and aggressive surgical resection is generally accepted as the optimal goal of treatment, these lesions require an individualized approach, with further investigation needed regarding the role of new therapies.

Keywords

en plaque meningioma - skull base - sphenoid wing - spheno-orbital - recurrent meningioma

Full Text

References

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