Extracranial Meningioma En Plaque With Skull Invasion

Cureus. 2023 Dec 13;15(12):e50490. doi: 10.7759/cureus.50490. eCollection 2023 Dec.

Abstract

The study reflects on a 69-year-old female patient with a history of cardio-respiratory disorders who was diagnosed with meningioma en plaque. Her clinical management entailed surgical resection of the tumor, which was followed by a complex postoperative course, including cardiorespiratory arrest and respiratory failure. Histologically, extracranial meningiomas are categorized into five subtypes based on predominant cellular morphology, with the meningothelial type being prevalent in this case. The report also examines the significance of complete tumor resection, noting a lower recurrence rate with gross total resection. Additionally, it discusses the increased susceptibility of extracranial meningiomas with advancing age and a higher incidence in females. Data from various studies underscore the importance of a surgical approach and extent of resection in predicting recurrence risk. The case report concludes by highlighting the critical aspects of the pathology of meningiomas and the surgical strategy that ensured the patient's recovery. The findings from this case contribute to the broader understanding of extracranial meningiomas, their diagnosis, and management.

Keywords: age-related susceptibility; extracranial meningiomas; gender disparity in incidence; gross total resection; histological classification; meningioma en plaque; osteolytic changes; postoperative complications; surgical approaches; world health organization grades.

Publication types

  • Case Reports