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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Autores principales: Smily Sharma, Pankaj Sharma, Amit Kumar
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Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic en plaque meningioma
meningiomatosis
neurofibromatosis 2
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle 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
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