Diffuse symmetric meningioma en plaque mimicking metabolic disease of bone.
A 50-year-old African American woman with right proptosis and decreased vision demonstrated symmetric, bilateral thickening of the sphenoid wings, calvarium, and skull base on computed tomography. Histopathologic evaluation of the hyperostotic lesion was consistent with meningotheliomatous meningioma. The patient underwent uncomplicated right frontal orbital craniectomy with postoperative radiation. The presentation of en plaque meningioma, when diffuse and symmetric, can mimic a metabolic disease of bone.
Department of Ophthalmology, Emory University, Atlanta, GA, USA.
Cecilia S
CS
Jung
Joseph D
JD
Walrath
Patricia A
PA
Hudgins
Ted
T
Wojno
D003131:Combined Modality Therapy; D003399:Craniotomy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008579:Meningioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D010001:Osteitis Deformans / Q000175:diagnosis; D012886:Skull / Q000000981:diagnostic imaging / Q000473:pathology; D019291:Skull Base / Q000000981:diagnostic imaging / Q000473:pathology; D012888:Skull Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D013100:Sphenoid Bone / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed