Clinical Neurology and Neuroscience

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Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity

Received: 08 April 2019    Accepted: 21 May 2019    Published: 11 June 2019
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Abstract

Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseous meningioma managed in our department. Observation. Mr. ON, 16 years old, presented progressively a right temporal tumefaction causing an aesthetic prejudice. This tumefaction raised the flag of the right ear. It was covered by normal skin and there was moderate right hypo acoustics. CT scan showed a right sphenotemporal lesion with hyperdense contours and hypodense contents. It repressed the brain without invading it but affected the anatomic structures of the ear. Surgical procedure allowed for almost complete excision of the lesion. Histology of the operative specimen concluded to an intraosseous meningothelial meningioma. After a 4-year follow-up, the tumor residue remained stable. Conclusion. In addition to the diagnostic difficulty, we faced two other therapeutic difficulties. The first is that complete excision was not possible to avoid compromising a hearing always good. The second difficulty was related to the age of the patient who did not allow us to consider the cranial plasty before the end of the growth.

DOI 10.11648/j.cnn.20190302.11
Published in Clinical Neurology and Neuroscience (Volume 3, Issue 2, June 2019)
Page(s) 31-34
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intraosseous Meningioma, Partial Resection, Hearing

References
[1] Khursheed N, Rumana M, Rayees M, Altaf R. Intraparenchymal anaplastic meningioma in a child: A rare entity. asianjns. org; 2015, DOI: 10. 4103/1793‑5482. 154980, 10(2): 1-3
[2] Souei Mhiri M, Ben Rhouma K, Tlili-graiess K, El Ouni Salhi C, Jemni Gharbi H, Ben Hnia I, Krifa H, Mokni M. Aspects en imagerie par résonance magnétique des méningiomes kystiques à propos de quatre cas. Neuroradiol., 2005, 32, 54-58.
[3] Benchakrouna F, Ech-cherif El Kettani N, Arkhab Y, Chakir N, El Khamlichi A, El Hassani MR, Jiddane M. Le méningiome intra-osseux sphéno temporo-orbitaire. Feuillets de radiologie 2011; 51: 254-259.
[4] Elkharras A, En-nouali H, Jawhari N, Elhaddad A, Ajja A, Chaouir S, Benamaur M. Méningiome géant a développement intra et extracranien. AJNS 2005; 24 (1)
[5] Henon A, Colombat M, Rodallec M, Redondo A, Feydy A. Méningiome intra-osseux de la voûte du crâne: confrontation anatomo-radiologique. JR 2005; 01: 86-1
[6] El Mahou S, Popa L, Constantin A, Jamard B, Cantagrel A, Mazieres B, Laroche M. Multiples intraosseous meningiomas. Clin Rheumatol, 2006, 25: 553–554. 6
[7] Nasri S, Marzouki Zineb, Kamaoui Imane, Skiker1 Imane, Le méningiome intra osseux: à propos de deux cas. Pan African Medical Journal. 2018; 30: 220. doi:10. 11604/
[8] Zhang S, Zhang Jing, Chen J, Ai X, He X. Frontal intradiploic meningioma with progressive intracranial invasion. A rare case report. Medicine, 2017; 96:34.
[9] Luetjens G, Krauss JK, Brandis A, Nakamura M. Bilateral sphenoorbital hyperostotic meningiomas with proptosis and visual impairment:A therapeutic challenge. Report of three patients and review of the literature. Clinical Neurology and Neurosurgery, 2011; 113: 859– 863.
[10] Ridouh M, Megueni AZ, Krim M, Mahida B, Berber N. Meningiome intra-osseux:cause de faux positifs dans la recherche de metastases osseuses par scintigraphie aux biphosphonates. revue neurologique, 2015; 171: 122–127.
[11] Broeckx CE, Maal TJJ, Vreeken RD, Bos RRM, Ter Laan M, Single-step resection of an intraosseous meningioma and cranial reconstruction: technical note World Neurosurgery, 2017; DOI: 10. 1016.
Author Information
  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Pathology Anatomy Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • ORL Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Pathology Anatomy Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Anesthésia and Reanimation Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Anesthésia and Reanimation Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

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  • APA Style

    Denlewende Sylvain Zabsonre, Ben-Aziz Dao, Valentin Konsegre, Eric Nao, Yacouba Haro, et al. (2019). Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity. Clinical Neurology and Neuroscience, 3(2), 31-34. https://doi.org/10.11648/j.cnn.20190302.11

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    ACS Style

    Denlewende Sylvain Zabsonre; Ben-Aziz Dao; Valentin Konsegre; Eric Nao; Yacouba Haro, et al. Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity. Clin. Neurol. Neurosci. 2019, 3(2), 31-34. doi: 10.11648/j.cnn.20190302.11

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    AMA Style

    Denlewende Sylvain Zabsonre, Ben-Aziz Dao, Valentin Konsegre, Eric Nao, Yacouba Haro, et al. Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity. Clin Neurol Neurosci. 2019;3(2):31-34. doi: 10.11648/j.cnn.20190302.11

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  • @article{10.11648/j.cnn.20190302.11,
      author = {Denlewende Sylvain Zabsonre and Ben-Aziz Dao and Valentin Konsegre and Eric Nao and Yacouba Haro and Ido Fabrice and Yves Bako and Boureima Kinda and Abel Kabre},
      title = {Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity},
      journal = {Clinical Neurology and Neuroscience},
      volume = {3},
      number = {2},
      pages = {31-34},
      doi = {10.11648/j.cnn.20190302.11},
      url = {https://doi.org/10.11648/j.cnn.20190302.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cnn.20190302.11},
      abstract = {Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseous meningioma managed in our department. Observation. Mr. ON, 16 years old, presented progressively a right temporal tumefaction causing an aesthetic prejudice. This tumefaction raised the flag of the right ear. It was covered by normal skin and there was moderate right hypo acoustics. CT scan showed a right sphenotemporal lesion with hyperdense contours and hypodense contents. It repressed the brain without invading it but affected the anatomic structures of the ear. Surgical procedure allowed for almost complete excision of the lesion. Histology of the operative specimen concluded to an intraosseous meningothelial meningioma. After a 4-year follow-up, the tumor residue remained stable. Conclusion. In addition to the diagnostic difficulty, we faced two other therapeutic difficulties. The first is that complete excision was not possible to avoid compromising a hearing always good. The second difficulty was related to the age of the patient who did not allow us to consider the cranial plasty before the end of the growth.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity
    AU  - Denlewende Sylvain Zabsonre
    AU  - Ben-Aziz Dao
    AU  - Valentin Konsegre
    AU  - Eric Nao
    AU  - Yacouba Haro
    AU  - Ido Fabrice
    AU  - Yves Bako
    AU  - Boureima Kinda
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    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
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    EP  - 34
    PB  - Science Publishing Group
    SN  - 2578-8930
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    AB  - Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseous meningioma managed in our department. Observation. Mr. ON, 16 years old, presented progressively a right temporal tumefaction causing an aesthetic prejudice. This tumefaction raised the flag of the right ear. It was covered by normal skin and there was moderate right hypo acoustics. CT scan showed a right sphenotemporal lesion with hyperdense contours and hypodense contents. It repressed the brain without invading it but affected the anatomic structures of the ear. Surgical procedure allowed for almost complete excision of the lesion. Histology of the operative specimen concluded to an intraosseous meningothelial meningioma. After a 4-year follow-up, the tumor residue remained stable. Conclusion. In addition to the diagnostic difficulty, we faced two other therapeutic difficulties. The first is that complete excision was not possible to avoid compromising a hearing always good. The second difficulty was related to the age of the patient who did not allow us to consider the cranial plasty before the end of the growth.
    VL  - 3
    IS  - 2
    ER  - 

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