Skull base meningiomas mimicking otitis media

Author:

Shihada R,Lurie M,Luntz M

Abstract

AbstractIntroduction:Meningiomas are slow-growing, benign tumours originating from the arachnoid villi of the meninges. They account for 13 to 26 per cent of all intracranial neoplasms. Less than 1 per cent of all meningiomas are primary extracranial tumours of the ear and temporal bone. Intracranial meningiomas extending to the middle-ear cleft are uncommon, with fewer than 100 cases reported to date. Presenting symptoms of the latter condition may include hearing loss, tinnitus, dizziness, vertigo and facial palsy. Otitis media with effusion secondary to eustachian tube dysfunction has also been reported.Aim:To describe three patients in whom chronic otitis media was the presenting sign of skull base meningioma.Method:Case presentations.Results:Presentation of clinical and imaging findings as well as management considerations.Conclusion:Meningioma involving the middle ear is an extremely rare condition, and is diagnosed by computed tomography in conjunction with magnetic resonance imaging. When biopsy is performed, the histological features, characteristic immunophenotype and ultrastructural analysis are valuable aids to definitive diagnosis. In patients with no neurological symptoms, ‘wait and scan’ is often the best management option.

Publisher

Cambridge University Press (CUP)

Subject

Otorhinolaryngology,General Medicine

Cited by 11 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Middle Ear Meningioma With Recurrence Secretory Otitis Media;Ear, Nose & Throat Journal;2023-12-03

2. Ectopic arachnoid granulations;Cerebrospinal Fluid and Subarachnoid Space;2023

3. Atypical Intratemporal Meningioma Masquerading as Otitis Media—Clinical and Radiological Diagnostic Dilemma;Indian Journal of Radiology and Imaging;2021-04

4. Benign Neoplasms of the Ear and Temporal Bone;Head and Neck Pathology;2019

5. Otitis Media with Effusion Revealing Underlying Meningioma;The Journal of International Advanced Otology;2018-05-17

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