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중이강을 침범한 두개내 수막종 2예

2 Cases of Intracranial Meningioma Extending into the Middle Ear

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초록

The meningiomas are slowly growing tumors arising from meningoepithelial cells and they generally occur throughout the craniospinal axis. Meningiomas extending to the middle ear cavity are uncommom and these patients complain of otologic symptoms such as hearing loss, ear fullness, or otorrhea. Clinical findings frequently suggest otitis media resistant to conventional treatments, thereby facilitating misdiagnosis. CT and MRI of the temporal bone are essential and important for the radiologic differential diagnosis with other tumors. The ideal treatment of these tumors is a total surgical removal. In this report, we describe 2 cases of middle ear meningioma originating from middle and posterior cranial fossas with a review of the literatures.

Abstract

The meningiomas are slowly growing tumors arising from meningoepithelial cells and they generally occur throughout the craniospinal axis. Meningiomas extending to the middle ear cavity are uncommom and these patients complain of otologic symptoms such as hearing loss, ear fullness, or otorrhea. Clinical findings frequently suggest otitis media resistant to conventional treatments, thereby facilitating misdiagnosis. CT and MRI of the temporal bone are essential and important for the radiologic differential diagnosis with other tumors. The ideal treatment of these tumors is a total surgical removal. In this report, we describe 2 cases of middle ear meningioma originating from middle and posterior cranial fossas with a review of the literatures.

참고문헌 (15)

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  3. Choi CM, "A case of extracranial meningioma extending to the external auditory canal", Korean J Otolaryngol-Head Neck Surg, 42(7), pp.907~910 (1999)
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  8. Salama N, "Meningiomas presenting in the middle ear", Laryngoscope, 92(1), pp.92~97 (1982)
  9. D’Angelo AJ Jr, "Primary meningiomas of the middle ear: Do they exist?", Ear Nose Throat J, 70(11), pp.794~798 (1991)
  10. Hoye SJ, "Extracranial meningioma presenting as a tumor of the neck", Am J Surg, (100), pp.486~489 (1960)
  11. Spector GJ, "Development of the hypotympanum in the human fetus and neonate", Ann Otol Rhinol Laryngol Suppl, 90(6), pp.1~20 (1981)
  12. Guzowski J, "Meningiomas of the temporal bone", Laryngoscope, 86(8), pp.1141~1146 (1976)
  13. Sheporaitis LA, "Intracranial meningioma", AJNR Am J Neuroradiol, 13(1), pp.29~37 (1992)
  14. Lalwani AK, "Preoperative differentiation between meningioma of the cerebellopontine angle and acoustic neuroma using MRI", Otolaryngol Head Neck Surg, 109(1), pp.88~95 (1993)
  15. Manivel JC, "Pathology of meningiomas", Pathol Annu, (25), pp.159~192 (1990)

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