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Skull vault plasmacytoma mimicking parasagittal meningioma: “Mini-Brain appearance”

1 Department of Neurosurgery, Paras Hospital, Gurugram, Haryana, India
2 Department of Histopathology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Satyashiva Munjal,
Department of Neurosurgery, Paras Hospital, Sector 43, Gurugram, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_219_17

Plasmacytomas occur as lesions in soft tissue or bone. Skull vault plasmacytomas are rare lesions comprising 0.7% of all plasmacytomas. Workup for myeloma must be done in such cases to rule out multiple myeloma. Here, we report a case of a 63-year-old female who presented to us with a large skull vault swelling which appeared to mimic a parasagittal meningioma on imaging. Histopathological imaging revealed it to be a plasmacytoma. A retrospective review of the radiology revealed the characteristic “mini-brain appearance” in our case. Literature on the subject is also reviewed.

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