Giant nasofrontal meningioma: endoscopic and transcranial approach followed by microvascularized vastus laterallis flap reconstruction

Autores de IIS La Fe

• Pablo Miranda Lloret

  Autor

• Juan Antonio Simal Julian

  Autor

• Laila Pérez De San Román

  Autor

• Alberto Pérez García

  Autor

• Alessandro Thione

  Autor

Participantes ajenos a IIS La Fe

• Plaza E.

Grupos

• Dermatología y Regeneración Tisular

• Investigación Clínica y Traslacional en Cáncer

Abstract

A 12-year-old girl presented with headache, nasal voice, and anosmia. Magnetic resonance imaging demonstrated a 11 × 9 × 8-cm tumor extending from the nasal cavity to the frontal lobes. Histological analysis was consistent with transitional meningioma WHO grade I. As far as we know, this is the first reported case of a giant olfactory groove meningioma invading the nasal cavity through the anterior cranial base. Complete surgical removal was accomplished with excellent result via a staged endoscopic and transcranial approach. A microvascularized vastus laterallis flap was used for reconstruction. Surgical options and technical details in the management of this lesion are reviewed. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

• fibrinogen plus thrombin; gadolinium; anterior communicating artery; Article; brain angiography; cancer grading; carotid artery bifurcation; case report; child; clinical article; contrast enhancement; endoscopic surgery; female; giant nasofrontal meningioma; headache; human; human tissue; meningioma; microvascularized vastus laterallis flap; nasal biopsy; neuroimaging; nose cavity; nuclear magnetic resonance imaging; pain; pneumocephalus; priority journal; school child; surgical approach; tissue flap; transcranial approach; tumor recurrence; x-ray computed tomography