Publication: Intradiploic meningioma with ınward and outward extensions in a rheumatoid arthritis patient
Abstract
Amaç: Meningiomalar genellikle araknoid cap hücre kalıntılarından gelişirler. İntraosseöz meningioma gelişimi nadirdir. Bu tip meningioma gelişimi için bir kaç teori mevcuttur. Bu yazıda römatoid artritli bir hastada gelişen intradiploik meningiomayı sunarak, gelişim mekanizmalarını, ayırıcı tanısını, römatoid artrit ile ilişkisini ve kalvaryum dışına uzanımını tartışmayı amaçladık. Olgu sunumu: Römatoid artrit nedeniyle tedavi altında olan altmış üç yaşındaki kadın hasta sağ göz etrafında şişlik ile başvurdu. Bilgisayarlı tomografide ekspansil sağ sfenoid kemik lezyonu izlendi. Kitle kraniyotomi ile çıkarıldı. Sonuç: Bu tip olgularda geniş rezeksiyon ve akrilik kraniyoplasti önermekteyiz. Kısmi çıkarım ancak olanaklı ise radyasyon tedavisi uygun olur.
Background: Meningiomas usually arise from clusters of arachnoidal cap cells. Originating of a meningioma in an intraosseous region is rare condition. There are several theories about occurrence of these types of meningiomas. Here we report a case of an intradiploic meningioma in a rheumatoid arthritis patient and discuss the mechanism of developing intraosseous meningiomas, differential diagnosis of intraosseous lesions of calvarium, relations of rheumatoid arthritis and extensions of meningioma outside the diploe. Case description: A sixty three-year-old female patient who had been under the treatment for rheumatoid arthritis was admitted to the hospital with a swelling around her right eye. Bony window of preoperative CT showed an expansile right sphenoid bone lesion. The mass was excised with internal and external tables of the temporal bone by craniectomy. Conclusion: We advocate a wide resection, followed by cranioplasty with acrylic. If the subtotal resection is possible, residual lesion should be followed for adjuvant radiation therapy.
Background: Meningiomas usually arise from clusters of arachnoidal cap cells. Originating of a meningioma in an intraosseous region is rare condition. There are several theories about occurrence of these types of meningiomas. Here we report a case of an intradiploic meningioma in a rheumatoid arthritis patient and discuss the mechanism of developing intraosseous meningiomas, differential diagnosis of intraosseous lesions of calvarium, relations of rheumatoid arthritis and extensions of meningioma outside the diploe. Case description: A sixty three-year-old female patient who had been under the treatment for rheumatoid arthritis was admitted to the hospital with a swelling around her right eye. Bony window of preoperative CT showed an expansile right sphenoid bone lesion. The mass was excised with internal and external tables of the temporal bone by craniectomy. Conclusion: We advocate a wide resection, followed by cranioplasty with acrylic. If the subtotal resection is possible, residual lesion should be followed for adjuvant radiation therapy.