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Skull base surgery. 1994 July; 4(3): 164–168.
PMCID: PMC1661791

Papillary (Malignant) Meningioma of the Foramen Magnum Presenting as a Posterior Neck Mass

Abstract

Meningiomas and neurofibromas are the most common extramedullary tumors in the region of the foramen magnum. The clinical symptoms are variable, including headache, occipitocervical pain, and hoarseness. Neurological symptoms are present only in 40% of cases. The age group ranges from 4 to 56 years. A number of patients are misdiagnosed as multiple sclerosis, syringomyelia, and cervical disc disease. The overall incidence of these tumors vary from 1.6 to 2.4%. The majority of meningiomas are histologically benign. Papillary (malignant) meningiomas are even rarer in this location. The present report is that of a 46-year-old man who developed a painless mass in the nape of his neck, without any neurological symptoms. Following initial biopsy at another hospital, a definitive resection was undertaken at Loyola University Medical Center. The diagnosis of a malignant meningioma was made after extensive immunohistochemical and electron microscopic studies. The patient developed a positive cervical lymph node 1 year later, which was excised and showed identical histopathologic features.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • LOVE JG, THELEN EP, DODGE HW., Jr Tumors of the foramen magnum. J Int Coll Surg. 1954 Jul;22(1 1):1–17. [PubMed]
  • Meyer FB, Ebersold MJ, Reese DF. Benign tumors of the foramen magnum. J Neurosurg. 1984 Jul;61(1):136–142. [PubMed]
  • Brignolio F, Favero M. Considerations on the malignancy of papillary meningioma. Clinico-pathological study of eight cases. Zentralbl Neurochir. 1984;45(1):79–84. [PubMed]
  • Inoue H, Tamura M, Koizumi H, Nakamura M, Naganuma H, Ohye C. Clinical pathology of malignant meningiomas. Acta Neurochir (Wien) 1984;73(3-4):179–191. [PubMed]
  • Pasquier B, Gasnier F, Pasquier D, Keddari E, Morens A, Couderc P. Papillary meningioma. Clinicopathologic study of seven cases and review of the literature. Cancer. 1986 Jul 15;58(2):299–305. [PubMed]
  • Ludwin SK, Rubinstein LJ, Russell DS. Papillary meningioma: a malignant variant of meningioma. Cancer. 1975 Oct;36(4):1363–1373. [PubMed]
  • Howe JR, Taren JA. Foramen magnum tumors. Pitfalls in diagnosis. JAMA. 1973 Aug 27;225(9):1061–1066. [PubMed]
  • Wagle VG, Villemure JG, Melanson D, Ethier R, Bertrand G, Feindel W. Diagnostic potential of magnetic resonance in cases of foramen magnum meningiomas. Neurosurgery. 1987 Nov;21(5):622–626. [PubMed]

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