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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2022; 11(01): 083-085
DOI: 10.1055/s-0040-1721561
Short Communication

Concurrent Inverted Papilloma and Squamous Cell Carcinoma with Intradural Extension Presenting with Frontal Lobe Syndrome

Abdul Jaleel
1   Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
,
V. M. Pavithran
1   Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
,
Shanavas Cholakkal
1   Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
,
Vineeth Kadangot Kuthampulli
1   Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
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Abstract

Inverted papilloma is an uncommon tumor mostly arising from the lateral wall of the nasal cavity and displays a benign but locally aggressive behavior. Intracranial extension is an extremely rare presentation of inverted papilloma. Extension occurs either as a benign lesion or due to malignant transformation. We report a case of concurrent inverted papilloma and squamous cell carcinoma presenting with epistaxis and recent-onset altered behavior and memory impairment. After literature review of similar cases having inverted papilloma with intracranial extension, we could identify a total of 12 cases, most of which were recurrences of a primary inverted papilloma that were resected before extension into the cranial cavity. Most cases were of extradural extension, and intradural spread resulted in poor prognosis on follow-up. Concurrent inverted papilloma and squamous cell carcinoma extending into the anterior cranial fossa and frontal lobe is a very rare clinical entity and can present as frontal lobe syndrome.

Keywords

inverted papilloma - intradural extension - frontal lobe syndrome


Publication History

Article published online:
01 March 2021

© 2021. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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