A Rare Case of Primary Heterotopic Meningioma of Nasal Cavity presenting with Right Eye Proptosis
DOI:
https://doi.org/10.21276/apalm.3275Keywords:
Heterotopic meningioma, immunohistochemistry, nasal cavity, proptosisAbstract
Meningiomas are slow growing intracranial neoplasm of central nervous system accounting for 15% of all intracranial tumors. Rarely it appears extracranially, mostly in the head and neck region, and specifically in the sinonasal tract with variable clinical presentation. It can mimic various other malignancies which are common at a particular location. We present a case of a 26 year old female with progressive proptosis of the right eye and intermittent headache without any vision impairment for about three years. Radiological features showed an ill-defined solid-cystic lesion epicentred in right nasal cavity suggesting olfactory neuroblastoma. Histomorphological and immunohistochemistry assessment favoured a diagnosis of Transitional meningioma, WHO grade I. Awareness of primary heterotopic meningioma will help in early diagnosis and appropriate management of the patient, particularly while evaluating a case of sino-nasal mass.
References
Celik SE, Celik S, Kelten B. Extradural meningioma presenting with severe epistaxis: a case report and review of the literature. Journal of neurosurgical sciences. 2009 Mar 1;53(1):27.
Mnejja M, Hammami B, Bougacha L, Kolsi N, Mnif H, Chakroun A, Charfeddine I, Boudawara T, Ghorbel A. Primary sinonasal meningioma. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2012 Feb 1;129(1):47-50.
Rushing EJ, Bouffard JP, McCall S, Olsen C, Mena H, Sandberg GD, Thompson LD. Primary extracranial meningiomas: an analysis of 146 cases. Head and neck pathology. 2009 Jun;3:116-30.
Hu X, Jiang M, Feng Z, Wang J, Wang P, Cai J. Primary heterotopic meningioma of nasal cavity: case report and literature review. Ear, Nose & Throat Journal. 2022 Nov;101(9):NP383-8.
Thompson LD, Gyure KA. Extracranial sinonasal tract meningiomas: a clinicopathologic study of 30 cases with a review of the literature. The American journal of surgical pathology. 2000 May 1;24(5):640-50.
Friedman CD, Costantino PD, Teitelbaum B, Berktold RE, Sisson Sr GA. Primary extracranial meningiomas of the head and neck. The Laryngoscope. 1990 Jan;100(1):41-8.
Maharjan L, Neupane Y, Pradhan B. Primary atypical meningioma of the nasal cavity: a case report and review of the literature. Case Reports in Otolaryngology. 2018 Feb 26;2018.
Swain Jr RE, Kingdom TT, DelGaudio JM, Muller S, Grist WJ. Meningiomas of the paranasal sinuses. American Journal of Rhinology. 2001 Jan;15(1):27-30.
Gozgec E, Ogul H. Primary nasal septal meningioma; a rare mimicker of nasal polyp. Ear, Nose & Throat Journal. 2022 Nov 25:01455613221142117.
Magdayao RB, Silva-Leonardo JD. Sinonasal Tract Meningioma: A Case Report. J Oto-laryngol Rhinol. 2020;6:077.
Aiyer RG, Prashanth V, Ambani K, Bhat VS, Soni GB. Primary extracranial meningioma of paranasal sinuses. Indian Journal of Otolaryngology and Head & Neck Surgery. 2013 Aug;65:384-7.
Liu Y, Wang H, Shao H, Wang C. Primary extradural meningiomas in head: a report of 19 cases and review of literature. International Journal of Clinical and Experimental Pathology. 2015;8(5):5624.
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Copyright (c) 2023 Munmun Harlalka, Abhijit Kalita, Lachit Kalita
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