Atypical meningioma presenting as a nasal mass-multidisciplinary management.

OBJECTIVE

To report a case of recurrent extracranial atypical meningioma successfully managed by a multidisciplinary team.

METHODS

Case report and literature review concerning successful management of recurrent extracranial meningioma based on pathology and extent of resection.

RESULTS

A 48-year-old woman who presented with a nasal mass, anosmia and headaches. Physical exam and imaging showed recurrent meningioma involving the entire anterior frontal meninges extending into the frontal bone and down into the nasal cavity via the anterior ethmoid. Combined modality surgical intervention was successful and the patient recovered suffering no neurological sequelae.

CONCLUSION

This is a very rare presentation of meningioma that the craniomaxillofacial surgeon should consider when formulating a differential diagnosis for a nasal mass. Long-term surveillance is crucial as recurrence can have devastating consequences. Aggressive multidisciplinary care is needed to prevent future recurrences and to improve survival.