Volume 9 - Continuous Publishing                   Iran J Neurosurg 2023, 9 - Continuous Publishing: 82-88 | Back to browse issues page

‎ 10.32598/irjns.9.11

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Gigantic Exteriorized Frontal Meningioma: An Exceptional Clinical Entity
Denlewende Sylvain Zabsonre *1 , Inoussa Zoungrana2 , Julie Marie Adeline Wendlamita Kyelem3 , Abdoulaye Sanou2 , Yakouba Haro2 , Souleymane Ouattara4 , Adama Traore4 , Abel Kabre2
1- Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso , dzabsonre@gmail.com
2- Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso
3- Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso
4- Department of Pathological Anatomy, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Abstract:   (2919 Views)

Background and Importance: Meningiomas are usually benign tumors. Depending on their location and size, dealing with them can be problematic. We report an exceptional case of gigantic frontal meningioma. Its diagnosis was misleading and the excision laborious. 

Case Presentation: A 29-year-old patient who presented gradually over 5 years, developed behavioral disorders then swelling of the vertex at the frontal level and decreased visual acuity. Physical examination on admission revealed a median frontal swelling slightly lateralized to the left axis of approximately 10 cm, hard, covered with the healthy, severe frontal syndrome, and decreased visual acuity. Computerized tomography (CT) scan showed a voluminous medial frontal lesion lateralized to the left, with irregular limits, superior sagittal sinus invasion, brain engagement under the scythe, heterogeneous contrast taking, and significant osteolysis first evoking tumor metastasis. Magnetic resonance imaging (MRI) suggested a meningioma. The resection was macroscopically complete. Dural and cranial plasty was performed. The postoperative follow-up was simple. Histology concluded that the meningioma was grade 1 based on the world health organization (WHO) classification.
Conclusion: Late-diagnosis meningiomas can take on very large proportions and pose management problems while seriously engaging the patient functional and vital prognosis. 
 
Article number: 11
Keywords: Meningioma, Exteriorized, Excision, Duroplasty, Cranioplasty
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Type of Study: Case report | Subject: Brain Tumors
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