En Plaque Meningiomas: A Narrative Review

Abstract

Background En plaque meningiomas are a rare subtype of meningiomas that are frequently encountered in the spheno-orbital region. Characterized by a hyperostotic and dural invasive architecture, these tumors present unique diagnostic and treatment considerations.

Objective The authors conduct a narrative literature review of clinical reports of en plaque meningiomas to summarize the epidemiology, clinical presentation, diagnostic criteria, and treatment considerations in treating en plaque meningiomas. Additionally, the authors present a case from their own experience to illustrate its complexity and unique features.

Methods A literature search was conducted using the MEDLINE database using the following terminology in various combinations: meningioma, meningeal neoplasms, en plaque, skull base, spheno-orbital, and sphenoid wing. Only literature published in English between 1938 and 2018 was reviewed. All case series were specifically reviewed for sufficient data on treatment outcomes, and all literature was analyzed for reports of misdiagnosed cases.

Conclusion En plaque meningiomas may present with a variety of symptoms according to their location and degree of bone invasion, requiring a careful diagnostic and treatment approach. While early and aggressive surgical resection is generally accepted as the optimal goal of treatment, these lesions require an individualized approach, with further investigation needed regarding the role of new therapies.

Keywords

en plaque meningioma - skull base - sphenoid wing - spheno-orbital - recurrent meningioma

Publication History

Received: 05 August 2019

Accepted: 03 November 2019

Article published online:
23 December 2019

• References

• 1 Ostrom QT, Gittleman H, Fulop J. et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2008-2012. Neuro-oncol 2015; 17 (Suppl. 04) iv1-iv62
• 2 Amirjamshidi A, Abbasioun K, Amiri RS, Ardalan A, Hashemi SM. Lateral orbitotomy approach for removing hyperostosing en plaque sphenoid wing meningiomas. Description of surgical strategy and analysis of findings in a series of 88 patients with long-term follow up. Surg Neurol Int 2015; 6: 79
• 3 Akutsu H, Sugita K, Sonobe M, Matsumura A. Parasagittal meningioma en plaque with extracranial extension presenting diffuse massive hyperostosis of the skull. Surg Neurol 2004; 61 (02) 165-169
• 4 Yao A, Sarkiss CA, Lee J, Zarzour HK, Shrivastava RK. Surgical limitations in convexity meningiomas en-plaque: is radical resection necessary?. J Clin Neurosci 2016; 27: 28-33
• 5 Mirone G, Chibbaro S, Schiabello L, Tola S, George B. En plaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients. Neurosurgery 2009; 65 (6, Suppl): 100-108
• 6 Mohindra S, Savardekar A, Tripathi M, Rane S. En plaque foramen magnum meningiomas: rare presentations. Br J Neurosurg 2012; 26 (06) 899-901
• 7 Vrionis FD, Robertson JH, Gardner G, Heilman CB. Temporal bone meningiomas. Skull Base Surg 1999; 9 (02) 127-139
• 8 Schick U, Bleyen J, Bani A, Hassler W. Management of meningiomas en plaque of the sphenoid wing. J Neurosurg 2006; 104 (02) 208-214
• 9 Simas NM, Farias JP. Sphenoid wing en plaque meningiomas: surgical results and recurrence rates. Surg Neurol Int 2013; 4: 86
• 10 Li Y, Shi JT, An YZ. et al. Sphenoid wing meningioma en plaque: report of 37 cases. Chin Med J (Engl) 2009; 122 (20) 2423-2427
• 11 Moher D, Shamseer L, Clarke M. et al; PRISMA-P Group. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015; 4: 1
• 12 De Jesús O, Toledo MM. Surgical management of meningioma en plaque of the sphenoid ridge. Surg Neurol 2001; 55 (05) 265-269
• 13 Pompili A, Derome PJ, Visot A, Guiot G. Hyperostosing meningiomas of the sphenoid ridge--clinical features, surgical therapy, and long-term observations: review of 49 cases. Surg Neurol 1982; 17 (06) 411-416
• 14 Cushing HEL. Meningiomas of the sphenoid wing. In: Meningiomas: Their Classification, Regional Behavior, Life History, and Surgical End Results. Springfield, IL: Charles C Thomas; 1938: 298-387
• 15 Oya S, Sade B, Lee JH. Sphenoorbital meningioma: surgical technique and outcome. J Neurosurg 2011; 114 (05) 1241-1249
• 16 Shrivastava RK, Sen C, Costantino PD, Della Rocca R. Sphenoorbital meningiomas: surgical limitations and lessons learned in their long-term management. J Neurosurg 2005; 103 (03) 491-497
• 17 Bonnal J, Thibaut A, Brotchi J, Born J. Invading meningiomas of the sphenoid ridge. J Neurosurg 1980; 53 (05) 587-599
• 18 Brotchi J, Pirotte B. Sphenoid wing meningiomas. In: Sekhar LN FR. ed. Atlas of Neurosurgical Techniques: Brain. New York, NY: Thieme; 2006: 623-632
• 19 Simon MSJ. Lateral and middle sphenoid wing meningiomas. In: Demonte FMM, Al-Mefty O. ed. Al-Mefty's Meningiomas. 2nd edition. New York, NY: Thieme; 2011
• 20 Boari N, Gagliardi F, Spina A, Bailo M, Franzin A, Mortini P. Management of spheno-orbital en plaque meningiomas: clinical outcome in a consecutive series of 40 patients. Br J Neurosurg 2013; 27 (01) 84-90
• 21 Jang SY, Kim CH, Cheong JH, Kim JM. Extracranial extension of intracranial atypical meningioma en plaque with osteoblastic change of the skull. J Korean Neurosurg Soc 2014; 55 (04) 205-207
• 22 Tsutsumi S, Izumi H, Yasumoto Y, Ito M. Convexity en plaque meningioma manifesting as subcutaneous mass: case report. Neurol Med Chir (Tokyo) 2013; 53 (10) 727-729
• 23 Jiranukool J, Iampreechakul P, Dhanachai M, Tirakotai W. Outcomes of surgical treatment and radiation therapy in en plaque sphenoid wing meningioma. J Med Assoc Thai 2016; 99 (Suppl. 03) S54-S61
• 24 Nagy M, Eissa S. Outcome of sphenoid wing en plaque meningioma surgery. Egyptian J Neurosurg 2015; 30: 259-264
• 25 Tirtaprawita N, Wiradharma W, July J. The key role of MRI modalities in en plaque meningioma. Medicinus 2018;6; doi: 10.19166/med.v6i2.1145
• 26 Brito AB, Reis F, de Souza CA, Vassallo J, Lima CS. Intracranial primary dural diffuse large B-cell lymphoma successfully treated with chemotherapy. Int J Clin Exp Med 2014; 7 (02) 456-460
• 27 Lyndon D, Lansley JA, Evanson J, Krishnan AS. Dural masses: meningiomas and their mimics. Insights Imaging 2019; 10 (01) 11
• 28 Ramachandran R, Muniyandi M, Iyer V, Sripriya T, Priya B, Govindarajan TG. Dilemmas in the diagnosis and treatment of intracranial tuberculomas. J Neurol Sci 2017; 381: 256-264
• 29 Aggarwal A, Patra DP, Gupta K, Sodhi HB. Dural tuberculoma mimicking meningioma: a clinicoradiologic review of dural en-plaque lesions. World Neurosurg 2016; 88: 686.e1-686.e7
• 30 Honeybul S, Neil-Dwyer G, Lang DA, Evans BT, Ellison DW. Sphenoid wing meningioma en plaque: a clinical review. Acta Neurochir (Wien) 2001; 143 (08) 749-757
• 31 Brem Sr H. Youman's Neurological Surgery. Vol 1. Fifth edition. Philadelphia PA: Saunders; 2004
• 32 Basu K, Majumdar K, Chatterjee U, Ganguli M, Chatterjee S. En plaque meningioma with angioinvasion. Indian J Pathol Microbiol 2010; 53 (02) 319-321
• 33 Castellano F, Guidetti B, Olivecrona H. Pterional meningiomas en plaque. J Neurosurg 1952; 9 (02) 188-196
• 34 Abbott KH, Glass B. Pterional meningioma en plaque; report of a case of thirty-six years' duration. J Neurosurg 1955; 12 (01) 50-52
• 35 Poppen JL, Horrax G. The surgical treatment of hyperostosing meningiomas of the sphenoid wing. Surg Gynecol Obstet 1940; 71: 222-230
• 36 Saeed P, van Furth WR, Tanck M. et al. Natural history of spheno-orbital meningiomas. Acta Neurochir (Wien) 2011; 153 (02) 395-402
• 37 Maroon JC, Kennerdell JS, Vidovich DV, Abla A, Sternau L. Recurrent spheno-orbital meningioma. J Neurosurg 1994; 80 (02) 202-208
• 38 Carrizo A, Basso A. Current surgical treatment for sphenoorbital meningiomas. Surg Neurol 1998; 50 (06) 574-578
• 39 Derome P. [Spheno-ethmoidal tumors. Possibilities for exeresis and surgical repair]. Neurochirurgie 1972; 18 (01) 1-164 , 1–164
• 40 Sandalcioglu IE, Gasser T, Mohr C, Stolke D, Wiedemayer H. Spheno-orbital meningiomas: interdisciplinary surgical approach, resectability and long-term results. J Craniomaxillofac Surg 2005; 33 (04) 260-266
• 41 Ringel F, Cedzich C, Schramm J. Microsurgical technique and results of a series of 63 spheno-orbital meningiomas. Neurosurgery 2007; 60 (04, Suppl 2): 214-221
• 42 Bowers CA, Sorour M, Patel BC, Couldwell WT. Outcomes after surgical treatment of meningioma-associated proptosis. J Neurosurg 2016; 125 (03) 544-550
• 43 Gaillard S, Pellerin P, Dhellemmes P, Pertuzon B, Lejeune JP, Christiaens JL. Strategy of craniofacial reconstruction after resection of spheno-orbital “en plaque” meningiomas. Plast Reconstr Surg 1997; 100 (05) 1113-1120
• 44 Gonen L, Nov E, Shimony N, Shofty B, Margalit N. Sphenoorbital meningioma: surgical series and design of an intraoperative management algorithm. Neurosurg Rev 2018; 41 (01) 291-301
• 45 Holck D. Custom Shaped Porous Polyethylene-Titanium Mesh Orbital Implants for Internal Orbital Floor/Medial-Wall Fracture Repair. Ann Fall Sci Syllab 2006
• 46 Brusati R, Biglioli F, Mortini P, Raffaini M, Goisis M. Reconstruction of the orbital walls in surgery of the skull base for benign neoplasms. Int J Oral Maxillofac Surg 2000; 29 (05) 325-330
• 47 Fariselli L, Biroli A, Signorelli A, Broggi M, Marchetti M, Biroli F. The cavernous sinus meningiomas' dilemma: surgery or stereotactic radiosurgery?. Rep Pract Oncol Radiother 2016; 21 (04) 379-385
• 48 Güdük M, Özduman K, Pamir MN. Sphenoid wing meningiomas: surgical outcomes in a series of 141 cases and proposal of a scoring system predicting extent of resection. World Neurosurg 2019; 125: e48-e59
• 49 Kumar J, Mallik J, Strickland BA, Harsh V, Kumar A. Intracranial en-plaque tuberculoma impersonating en-plaque meningioma: Case report and brief review of literature. Asian J Neurosurg 2017; 12 (03) 576-579
• 50 Miralbell R, Cella L, Weber D, Lomax A. Optimizing radiotherapy of orbital and paraorbital tumors: intensity-modulated X-ray beams vs. intensity-modulated proton beams. Int J Radiat Oncol Biol Phys 2000; 47 (04) 1111-1119
• 51 Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL. Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 1985; 62 (01) 18-24
• 52 Morita A, Coffey RJ, Foote RL, Schiff D, Gorman D. Risk of injury to cranial nerves after gamma knife radiosurgery for skull base meningiomas: experience in 88 patients. J Neurosurg 1999; 90 (01) 42-49
• 53 Peele KA, Kennerdell JS, Maroon JC. et al. The role of postoperative irradiation in the management of sphenoid wing meningiomas. A preliminary report. Ophthalmology 1996; 103 (11) 1761-1766
• 54 Charbel FT, Hyun H, Misra M, Gueyikian S, Mafee RF. Juxtaorbital en plaque meningiomas. Report of four cases and review of literature. Radiol Clin North Am 1999; 37 (01) 89-100
• 55 Nigim F, Wakimoto H, Kasper EM, Ackermans L, Temel Y. Emerging medical treatments for meningioma in the molecular era. Biomedicines 2018; 6 (03) E86
• 56 Kim J, Kim KH, Kim YZ. The clinical outcome of hydroxyurea chemotherapy after incomplete resection of atypical meningiomas. Brain Tumor Res Treat 2017; 5 (02) 77-86
• 57 Wen PY, Yung WK, Lamborn KR. et al. Phase II study of imatinib mesylate for recurrent meningiomas (North American Brain Tumor Consortium study 01-08). Neuro-oncol 2009; 11 (06) 853-860
• 58 Crombet T, Torres O, Rodríguez V. et al. Phase I clinical evaluation of a neutralizing monoclonal antibody against epidermal growth factor receptor in advanced brain tumor patients: preliminary study. Hybridoma 2001; 20 (02) 131-136
• 59 Raizer JJ, Grimm SA, Rademaker A. et al. A phase II trial of PTK787/ZK 222584 in recurrent or progressive radiation and surgery refractory meningiomas. J Neurooncol 2014; 117 (01) 93-101
• 60 Kulkarni K, Sternau L, Dubovy S, Lam B. Primary dural lymphoma masquerading as a meningioma. Journal of Neuro-Ophthalmology 2012; 32 (03) 240-242
• 61 Vaicys C, Schulder M, Wolansky LJ, Fromowitz FB. Falcotentorial plasmacytoma. Case report. J Neurosurg 1999; 91 (01) 132-135
• 62 Donnet A, Figarella-Branger D, Grisoli F. Primary meningeal fibrosarcoma: a particular neuroradiological presentation. J Neurooncol 1999; 42 (01) 79-83
• 63 Deb P, Singh V, Dutta V, Bhatoe HS, Chandran VM. Primary intracranial benign fibrous histiocytoma: report of an unusual case. J Cancer Res Ther 2014; 10 (01) 200-202
• 64 Nowosielski M, Galldiks N, Iglseder S. et al. Diagnostic challenges in meningioma. Neuro-oncol 2017; 19 (12) 1588-1598
• 65 Chitkara N, Sharma NK, Goyal N. Osteoma mimicking a partly calcified meningioma. Neurol India 2003; 51 (02) 287-288
• 66 Deora H, Beniwal M, Rao S, Rao KVLN, Vikas V, Somanna S. Wolf in Sheep's clothing: Intracranial actinomycosis masquerading as en-plaque meningioma. Surg Neurol Int 2018; 9: 39-39
• 67 Komotar RJ, Clatterbuck RE. Coccidioidomycosis of the brain, mimicking en plaque meningioma. J Neurol Neurosurg Psychiatry 2003; 74 (06) 806-806
• 68 Tobias S, Prayson RA, Lee JH. Necrotizing neurosarcoidosis of the cranial base resembling an en plaque sphenoid wing meningioma: case report. Neurosurgery 2002; 51 (05) 1290-1294
• 69 Jayaraj K, Martinez S, Freeman A, Lyles K. Clinical vignette: intraosseous meningioma—a mimicry of Paget's disease?. J Bone Miner Res 2001; 16 (16) 1154-1156
• 70 Asil K, Aksoy YE, Yaldiz C, Kahyaglu Z. Primary intraosseous meningioma mimicking osteosarcoma: case report. Turk Neurosurg 2015; 25 (01) 174-176
• 71 Mingo K, Sweeney AD, Thompson RC, Rivas A. Hyperostotic en plaque meningioma mimicking fibrous dysplasia of the temporal bone. Otol Neurotol 2016; 37 (09) e317-e318