Abstract

Ectopic meningioma occurring in the region of parapharyngeal space is rare in clinical practice and brings great challenge in its diagnosis. This report details such a case in a 14-year-old girl with neurofibromatosis Type 2, which is a highly infrequent association. The clinical manifestations, imaging findings, and pathological manifestations are described, and the relevant literature is reviewed to highlight characteristic imaging findings of ectopic meningiomas.

Highlights

  • Neurofibromatosis Type 2 (NF2) is a genetic neoplastic disorder that presents with multiple meningiomas and bilateral vestibular schwannomas,[7,8] and most meningiomas associated with NF2 arise intracranially

  • In view of the Haematoxylin and eosin (H-E) staining and immunohistochemical findings, the tumour was diagnosed as a benign ectopic meningioma of World Health Organization Grade I based on the 2007 World Health Organization classification.[9]

  • It has been suggested that primary ectopic meningiomas of the head and neck are related to neurofibromatosis, NF2

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Summary

Introduction

Meningiomas are among the most common tumours of the central nervous system, accounting for nearly 20% of primary intracranial tumours.[1]. We report the clinical signs, imaging findings, and pathological manifestations of a rare case of meningioma occupying the parapharyngeal space in a patient with NF2. CASE REPORT Our patient, a 14-year-old girl, presented with a 4 month history of a painless mass in the right retroauricular area; it was first found in June 2015.

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