Asian Journal of Neurosurgery

LETTER TO EDITOR
Year
: 2019  |  Volume : 14  |  Issue : 3  |  Page : 1051-

A dry pineapple slice like lesion in the anterior skull base


Harald De Cauwer1, Anniek Eerdekens1, Filip Stessels2, Dieter Vanneste3, Gert De Mulder4,  
1 Department of Neurology, Dimpna Regional Hospital, 2440 Gheel, Belgium
2 Department of Pathology, Dimpna Regional Hospital, 2440 Gheel, Belgium
3 Department of Neuroradiology, Dimpna Regional Hospital, 2440 Gheel, Belgium
4 Department of Neurosurgery, Dimpna Regional Hospital, 2440 Gheel, Belgium

Correspondence Address:
Harald De Cauwer
Department of Neurosurgery, Dimpna Regional Hospital, JB Stessenstraat 2, 2440 Gheel
Belgium




How to cite this article:
De Cauwer H, Eerdekens A, Stessels F, Vanneste D, De Mulder G. A dry pineapple slice like lesion in the anterior skull base.Asian J Neurosurg 2019;14:1051-1051


How to cite this URL:
De Cauwer H, Eerdekens A, Stessels F, Vanneste D, De Mulder G. A dry pineapple slice like lesion in the anterior skull base. Asian J Neurosurg [serial online] 2019 [cited 2020 Jul 6 ];14:1051-1051
Available from: http://www.asianjns.org/text.asp?2019/14/3/1051/250019


Full Text



Sir,

We read with much great interest the article of Salunke et al.[1] Bone formation in meningiomas can be scattered, focal (eccentric or centrally). The latter is the case in our patient, a 50-year-old male who was referred for magnetic resonance imaging (MRI) from the temporal bone because of daily head pressure and tinnitus. MRI showed an incidental high-density lesion with central calcification and moderate perilesional edema at the right border of the lesion, most probably a planum sphenoidale meningioma [Figure 1].{Figure 1}

Surgical resection revealed a lesion with central calcification/ossification, firmly attached to the olfactory nerves. Histopathology disclosed a meningothelial meningioma [Figure 2].{Figure 2}

The lesion resembled a dry pineapple slice with crenelated central margin due to the central ossification in contrast with osteoblastic meningiomas with diffuse ossification with chicken-wire pattern or with eccentric ossification with turtle-shell pattern.[1],[2]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Salunke P, Aggarwal A, Futane S, Nada R, Gochhait D. Osteoblastic meningioma with turtle shell: Different entity from calcified meningioma. Asian J Neurosurg 2016;11:450.
2Huang J, Petersson F. Intracerebral metaplastic meningioma with prominent ossification and extensive calcification. Rare Tumors 2011;3:e20.