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Short communication: sclerosing meningioma in the deep sylvian fissure

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Abstract

Sclerosing meningioma is a rare type of meningeal tumor with extensive collagen depositions. Deep sylvian meningioma, a tumor that is unattached to the dura mater, is also unusual. The biological activity of both is controversial, as are therapeutic strategies. A heterogeneous contrast-enhanced mass in the right sylvian fissure of a 10-year-old boy with a 3-year history of epilepsy was identified via magnetic resonance imaging. The patient underwent partial surgical resection because the tumor was hard and contained numerous perforators arising from the right middle cerebral artery. The tumor was histologically diagnosed as sclerosing meningioma. Twelve months after surgery, the patient was asymptomatic and did not require any additional therapies. This case is the first report of a sclerosing meningioma arising in the deep sylvian fissure. We discuss the therapeutic dilemma of this case with respect to the current literature.

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Authors and Affiliations

  1. Department of Pathology and Clinical Laboratories, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Shintaro Fukushima & Akihiko Yoshida

  2. Department of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Yoshitaka Narita, Motoki Yonezawa, Makoto Ohno, Hideyuki Arita, Yasuji Miyakita & Soichiro Shibui

  3. Division of Brain Tumor Translational Research, National Cancer Center Research Institute, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Shintaro Fukushima & Koichi Ichimura

Authors
  1. Shintaro Fukushima
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  2. Yoshitaka Narita
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  3. Motoki Yonezawa
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  4. Makoto Ohno
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  5. Hideyuki Arita
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  6. Yasuji Miyakita
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  7. Koichi Ichimura
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  8. Akihiko Yoshida
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  9. Soichiro Shibui
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Correspondence to Shintaro Fukushima.

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Fukushima, S., Narita, Y., Yonezawa, M. et al. Short communication: sclerosing meningioma in the deep sylvian fissure. Brain Tumor Pathol 31, 289–292 (2014). https://doi.org/10.1007/s10014-013-0167-8

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  • DOI: https://doi.org/10.1007/s10014-013-0167-8

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