Abstract

Background and Aims: Meningiomas have different subtypes, including the rare and indolent metaplastic meningioma, which are characterised by the presence of mesenchymal components. The histopathological features of osseous metaplastic meningiomas include the existence of bone tissue and tumour cells within areas devoid of psammoma bodies. These tumours can have devastating symptoms affecting the quality of life of the patient severely. Tumours in proximity to critical structures pose a unique challenge in management, making it essential to address these issues for effective local control and symptom relief. Materials and Methods: Here we present a rare case report of a gentleman diagnosed to have intracranial osseous metaplastic meningioma who experienced severe visual deficits, for whom postoperative radiotherapy was administered and excellent outcome was achieved. Results: At a 12-month follow-up, patient had dramatic improvement in vision. Discussion: Stereotactic radiotherapy is a safe and effective method for achieving excellent local control, improving symptoms and enhancing quality of life of the patient. The proximity of critical structures and their dose tolerances should be key considerations while deciding on the fractionation scheme.

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