Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation
Meningiomas are amongst the most common neoplasms of the central nervous system; however, “multiple meningiomas” or “meningiomatosis” account for < 10% of cases. The association with neurofibromatosis 2 is seen in ∼50% of cases. We report a case of 35-year-old female patient who presented with le...
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2021
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oai:doaj.org-article:672b8da6f0674792a2ec937e7dd72d882021-11-13T23:32:31ZDiffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation0971-30261998-380810.1055/s-0041-1736394https://doaj.org/article/672b8da6f0674792a2ec937e7dd72d882021-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736394https://doaj.org/toc/0971-3026https://doaj.org/toc/1998-3808Meningiomas are amongst the most common neoplasms of the central nervous system; however, “multiple meningiomas” or “meningiomatosis” account for < 10% of cases. The association with neurofibromatosis 2 is seen in ∼50% of cases. We report a case of 35-year-old female patient who presented with left eye proptosis, left forehead swelling, and multiple cranial nerve palsies predominantly on the left side. Imaging evaluation revealed innumerable en plaque meningiomas forming a sheet-like nodular thickening along the dura, causing marked hyperostosis and extending into the orbits, cavernous sinuses, sellar–suprasellar regions, various skull foramina, basal cisterns and into the cervical spinal canal causing mass effect on vital structures of the brain and cervical spinal cord. Similar lesions were found scattered in rest of the spine. We intend to highlight the role of imaging in accurately establishing the diagnosis and evaluating the extent and burden of disease in such rare cases.Smily SharmaPankaj SharmaAmit KumarThieme Medical and Scientific Publishers Pvt. Ltd.articleen plaque meningiomameningiomatosisneurofibromatosis 2Medical physics. Medical radiology. Nuclear medicineR895-920ENIndian Journal of Radiology and Imaging, Vol 31, Iss 03, Pp 768-771 (2021) |
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en plaque meningioma meningiomatosis neurofibromatosis 2 Medical physics. Medical radiology. Nuclear medicine R895-920 |
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en plaque meningioma meningiomatosis neurofibromatosis 2 Medical physics. Medical radiology. Nuclear medicine R895-920 Smily Sharma Pankaj Sharma Amit Kumar Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
description |
Meningiomas are amongst the most common neoplasms of the central nervous system; however, “multiple meningiomas” or “meningiomatosis” account for < 10% of cases. The association with neurofibromatosis 2 is seen in ∼50% of cases. We report a case of 35-year-old female patient who presented with left eye proptosis, left forehead swelling, and multiple cranial nerve palsies predominantly on the left side. Imaging evaluation revealed innumerable en plaque meningiomas forming a sheet-like nodular thickening along the dura, causing marked hyperostosis and extending into the orbits, cavernous sinuses, sellar–suprasellar regions, various skull foramina, basal cisterns and into the cervical spinal canal causing mass effect on vital structures of the brain and cervical spinal cord. Similar lesions were found scattered in rest of the spine. We intend to highlight the role of imaging in accurately establishing the diagnosis and evaluating the extent and burden of disease in such rare cases. |
format |
article |
author |
Smily Sharma Pankaj Sharma Amit Kumar |
author_facet |
Smily Sharma Pankaj Sharma Amit Kumar |
author_sort |
Smily Sharma |
title |
Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
title_short |
Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
title_full |
Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
title_fullStr |
Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
title_full_unstemmed |
Diffuse Meningiomatosis without Neurofibromatosis: A Rare Diagnosis with Atypical Presentation |
title_sort |
diffuse meningiomatosis without neurofibromatosis: a rare diagnosis with atypical presentation |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
publishDate |
2021 |
url |
https://doaj.org/article/672b8da6f0674792a2ec937e7dd72d88 |
work_keys_str_mv |
AT smilysharma diffusemeningiomatosiswithoutneurofibromatosisararediagnosiswithatypicalpresentation AT pankajsharma diffusemeningiomatosiswithoutneurofibromatosisararediagnosiswithatypicalpresentation AT amitkumar diffusemeningiomatosiswithoutneurofibromatosisararediagnosiswithatypicalpresentation |
_version_ |
1718430080894500864 |