ArticleInternational journal of surgery case reports2025
Surgical insights into meningiomas en plaque: A rare case of frontal tumor resection and its clinical implications.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionMeningiomas en Plaque (MEP) represents a rare subtype, typically affecting females and seen in the fifth decade of life, with proptosis as a common presenting symptom, posing both diagnostic and surgical challenges. CASE PRESENTATION: A 55-year-old right-handed male presented with right hemiplegia, headache, vomiting, and frequent seizures. Neurological examination showed reduced visual acuity and right-sided exophthalmos. MRI revealed a large, enhancing extra-axial dural-based lesion in the left frontal hemisphere, prompting surgical intervention. A bicoronal incision allowed for a left frontal craniotomy and tumor resection, including ligation of the superior sagittal sinus. Microscopic analysis showed spindle cell proliferation with whorled patterns. Postoperatively, the patient had an uneventful recovery and was discharged after three days, reporting resolution of symptoms during follow-up. CLINICAL DISCUSSION: The unique combination of the tumor's location, clinical manifestations, the patient's gender and age, along with the overall rarity of MEP, underscores the exceptional nature and significance of this case report.
conclusionThis report emphasizes the need for a comprehensive understanding of the diverse manifestations of this rare subtype, underscoring the challenges associated with its diagnosis and treatment, and contributing valuable insights to the existing knowledge base regarding this unique pathology.
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