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Extracranial meningioma presenting as a tumour of the external auditory meatus: a case report

Published online by Cambridge University Press:  29 June 2007

Reiko Tsunoda  and
Takashi Fukaya
Reiko Tsunoda*
Affiliation:
Department of Otolaryngology, Kanto Teishin Hospital, Tokyo, Japan.
Takashi Fukaya
Affiliation:
Department of Otolaryngology, Kanto Teishin Hospital, Tokyo, Japan.
*
Address for correspondence: Dr Reiko Tsunoda, Department of Otolaryngology, Kanto Teishin Hospital, Higashigotanda 5-9-22, Shinagawa-ku. Tokyo 141, Japan. Fax: 81-3-3990-3028.
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Abstract

A rare case of extracranial meningioma presenting as a tumour of the external auditory meatus is reported. Biopsy indicated a diagnosis of meningioma, but the radiological appearance was unusual. For example, computed tomography (CT) scans showed an unenhanced tumour mainly located in the squamous part of the temporal bone which expanded into the external meatus destroying the temporal bone. Magnetic resonance imaging (MRI) revealed that the tumour did not extend into the intradural space.

This meningioma, had an obvious tendency for extracranial development. According to the operative findings, the tumour arose from the middle cranial fossa dura and extended through the air cells of the temporal bone into the external meatus, instead of growing intracranially.

Secondary extracranial meningiomas of the temporal bone usually have a large intracranial component and cause neurological symptoms. However, this was a very rare case of a small meningioma causing no symptoms except for conductive hearing loss.

Keywords

MeningiomaextracranialTemporal boneEar canal
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 2 , February 1997 , pp. 148 - 151
Copyright
Copyright © JLO (1984) Limited 1997

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References

Batsakis, J. G. (1984) Extracranial meningiomas. Annals of Otology, Rhinology and Laryngology 93: 282–283.CrossRefGoogle ScholarPubMed
Carpeggiani, P., Crisi, G., Trevisan, C. (1993) MRI of intracranial meningiomas: correlations with histology and physical consistency. Neurorudiology 35: 532–536.CrossRefGoogle ScholarPubMed
Friedman, C. D., Cotantino, P. D., Teitelbaum, B., Berktold, R. E., Sisson, G. A. (1990) Primary extracranial meningiomas of the head and neck. Laryngoscope 100: 41–48.Google Scholar
Fujita, T., Nakagawa, H., Tsuruzono, K., Isumoto, S., Kadota, T., Wada, A. (1993) Extradural temporal meningioma directly extended to cervical bone. - case report - Neurology Medical Chiryo (Tokyo) 33: 458–462.CrossRefGoogle ScholarPubMed
Hoye, S. J., Hoar, C. S. Jr., Murray, J. E. (1960) Extracranial meningioma presenting as a tumor of the neck. American Journal of Surgery 100: 486–489.Google Scholar
Hyams, V. J., Batsakis, J. G., Michaels, L. (1986) Neoplasms of the middle ear, meningioma of the temporal bone. In Tumors of the Upper Respiratory Tract and Ear. 2nd Series. (Hartmann, W. H., Sobin, L. H., eds.), Armed Forces Institute of Pathology., Washington D.C., pp 312–315.Google Scholar
Kershisnik, M., Callender, D., Batsakis, J. G. (1993) Extracranial, extraspinal meningiomas of the head and neck. Annals of Otology, Rhinology Laryngology 102: 967–970.CrossRefGoogle ScholarPubMed
Lalwani, A. K., Jackler, R. K. (1993) Preoperative differentiation between meningioma of the cerebellopontine angle and acoustic neuroma using MRI. Otolaryngology - Head and Neck Surgery 109: 88–95.Google Scholar
Mclean, C. A., Jolley, D., Cukier, E., Giles, G., Gonzales, M. F. (1993) Atypical and malignant meningiomas: importance of micronecrosis as a prognostic indicator. Histopathology 23: 349–353.CrossRefGoogle ScholarPubMed
Nager, G. T., Heroy, J., Hoeplinger, M. (1983) Meningiomas invading the temporal bone with extension to the neck. American Journal of Otolaryngology 4: 297–324.Google Scholar
Rietz, D. R., Ford, J. H., Kurtycs, D. F., Brandenburg, J. H., Hafez, G. R. (1983) Significance of apparent intratympanic meningiomas. Laryngoscope 93: 1397–1404.Google Scholar
Suzuki, Y., Sugimoto, T., Shibuya, M., Sugita, K., Patel, S. J. (1994) Meningiomas: correlation between MRI characteristics and operative findings including consistency. Acta Neurochirgica 129: 39–46.CrossRefGoogle ScholarPubMed
Vassilouthis, J., Ambrose, J. (1979) Computerized tomography scanning appearances of intracranial meningiomas. Journal of Neurosurgery 50: 320–327.CrossRefGoogle ScholarPubMed