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Primary intraosseous meningioma in a skull of the medieval period of Southwestern Germany
Author(s) -
Weber Jochen,
Czarnetzki Alfred
Publication year - 2002
Publication title -
international journal of osteoarchaeology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 60
eISSN - 1099-1212
pISSN - 1047-482X
DOI - 10.1002/oa.637
Subject(s) - hyperostosis , meningioma , skull , fibrous dysplasia , medicine , cranial vault , anatomy , calvaria , osteoma , osteolysis , lesion , differential diagnosis , pathology , radiology , biology , biochemistry , in vitro
Primary intraosseous calvarial meningiomas are very rare entities in recent times. We present the first case in antiquity of a primary intraosseous meningioma in the frontoparietal bone associated with the coronal suture, and discuss its pathology. The skull derives from southwestern Germany and is dated to the 12th–14th centuries AD. The lesion is interpreted as a solitary osteoblastic neoplasm with hyperostosis on the outside, and osteolysis and radial spiculation in the central part of the lesion with an area of irregularity along the inner table. In cases of solitary osteoblastic skull lesions the differential diagnosis comprises: fibrous dysplasia, osteoma, osteoblastic metastasis, Pagets disease and meningioma with sheet‐like growth along the dural surface with marked hyperostosis (called meningioma en plaque). We believe that a differentiation between hyperostotic meningioma en plaque and intraosseous meningioma cannot be made in skulls from antiquity. Copyright © 2002 John Wiley & Sons, Ltd.