title: Extracalvarial Meningioma in the Parapharyngeal Space: Presentation, Diagnosis and Management.
abstract: Extracalvarial meningioma in the cervical region presenting as a parapharyngeal mass lesion is seldom encountered in clinical practice and poses great challenge in its diagnosis and surgical management. In this report, we present a case of extracranial meningioma in a middle-aged person who presented with a large, gradually progressing cervical swelling with multiple cranial nerve pareses. The difficulties in diagnosis and surgical management of this unusual neoplasm in the setting of partial encasement and thrombosis of the internal jugular vein have been discussed, along with the computed tomography and magnetic resonance imaging providing details of its extent and character. The report emphasizes the need to consider extracalvarial meningioma as a less common but important differential diagnosis of parapharyngeal space neoplasms.
authors.affiliation: Resident Medical Officer-cum Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital Kolkata, West Bengal, India .
authors.forename: Sirshak
authors.initials: S
authors.lastname: Dutta
authors.affiliation: Junior Resident, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, West Bengal, India .
authors.forename: Neeraj
authors.initials: N
authors.lastname: Aggarwal
authors.affiliation: Resident Medical Officer-cum Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, West Bengal, India .
authors.forename: Mainak
authors.initials: M
authors.lastname: Dutta
authors.affiliation: Associate Professor, Department of Surgical Oncology, Medical College and Hospital , Kolkata, West Bengal, India .
authors.forename: Saurav Kumar
authors.initials: SK
authors.lastname: Ghosh
authors.affiliation: Professor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, West Bengal, India .
authors.forename: Ramanuj
authors.initials: R
authors.lastname: Sinha
keywords: Extracranial; Internal jugular vein; Paraganglioma; Parapharyngeal tumour