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Temporal Bone Meningioma
Richard H. Wiggins, III, MD, CIIP, FSIIM
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Temporal bone meningioma, intratympanic meningioma, middle ear (ME) meningioma
          • Definitions

            • Meningioma involving temporal bone
              • May extend to ME, inner ear (IE), mastoid air cells, petrous apex air cells, internal auditory canal (IAC) &/or external auditory canal (EAC)

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Angiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Thompson LD: Ear and temporal bone meningioma. Ear Nose Throat J. 95(4-5):146, 2016
                                      2. Asil K et al: Primary intraosseous meningioma mimicking osteosarcoma: case report. Turk Neurosurg. 25(1):174-6, 2015
                                      3. Mingo K et al: Hyperostotic en plaque meningioma mimicking fibrous dysplasia of the temporal bone. Otol Neurotol. ePub, 2015
                                      4. Ricciardiello F et al: Temporal bone meningioma involving the middle ear: a case report. Oncol Lett. 10(4):2249-2252, 2015
                                      5. Thomas AJ et al: Nonparaganglioma jugular foramen tumors. Otolaryngol Clin North Am. 48(2):343-59, 2015
                                      6. Nicolay S et al: A case of a temporal bone meningioma presenting as a serous otitis media. Acta Radiol Short Rep. 3(10):2047981614555048, 2014
                                      7. Qureshi A et al: A rare infectious presentation of a temporal bone meningioma. J Neurooncol. 116(3):633-4, 2014
                                      8. Stevens KL et al: Middle ear meningiomas: a case series reviewing the clinical presentation, radiologic features, and contemporary management of a rare temporal bone pathology. Am J Otolaryngol. 35(3):384-9, 2014
                                      9. Nowak A et al: Surgical management of posterior petrous meningiomas. Neurol Neurochir Pol. 47(5):456-66, 2013
                                      10. Kusunoki T et al: A case report of meningioma extending to the middle ear. Clin Pract. 2(3):e67, 2012
                                      11. Shihada R et al: Skull base meningiomas mimicking otitis media. J Laryngol Otol. 126(6):619-24, 2012
                                      12. Chen LF et al: The retrosigmoid approach to petroclival meningioma surgery. J Clin Neurosci. 18(12):1656-61, 2011
                                      13. Keereweer S et al: Chronic serous otitis media as a manifestation of temporal meningioma. ORL J Otorhinolaryngol Relat Spec. 73(5):287-90, 2011
                                      14. Cenacchi G et al: Secretory meningioma of the middle ear: a light microscopic, immunohistochemical and ultrastructural study of one case. Neuropathology. 28(1):69-73, 2008
                                      15. Ayache D et al: Serous otitis media revealing temporal en plaque meningioma. Otol Neurotol. 27(7):992-8, 2006
                                      16. Hamilton BE et al: Imaging and clinical characteristics of temporal bone meningioma. AJNR Am J Neuroradiol. 27(10):2204-9, 2006
                                      17. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                      18. Laudadio P et al: Meningioma of the internal auditory canal. Acta Otolaryngol. 124(10):1231-4, 2004
                                      19. Thompson LD et al: Primary ear and temporal bone meningiomas: a clinicopathologic study of 36 cases with a review of the literature. Mod Pathol. 16(3):236-45, 2003
                                      20. Lawand A et al: Pathology quiz case. Middle ear meningioma. Arch Otolaryngol Head Neck Surg. 128(8):975-7, 2002
                                      21. Schick B et al: Magnetic resonance imaging in patients with sudden hearing loss, tinnitus and vertigo. Otol Neurotol. 22(6):808-12, 2001
                                      22. Prayson RA: Middle ear meningiomas. Ann Diagn Pathol. 4(3):149-53, 2000
                                      23. O'Reilly RC et al: Primary extracranial meningioma of the temporal bone. Otolaryngol Head Neck Surg. 118(5):690-4, 1998
                                      24. Hooper R et al: Temporal bone meningiomas. Aust N Z J Surg. 60(10):779-86, 1990
                                      25. Salama N et al: Meningiomas presenting in the middle ear. Laryngoscope. 92(1):92-7, 1982
                                      26. Guzowski J et al: Meningiomas of the temporal bone. Laryngoscope. 86(8):1141-6, 1976
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • Temporal bone meningioma, intratympanic meningioma, middle ear (ME) meningioma
                                              • Definitions

                                                • Meningioma involving temporal bone
                                                  • May extend to ME, inner ear (IE), mastoid air cells, petrous apex air cells, internal auditory canal (IAC) &/or external auditory canal (EAC)

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Angiographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Thompson LD: Ear and temporal bone meningioma. Ear Nose Throat J. 95(4-5):146, 2016
                                                                          2. Asil K et al: Primary intraosseous meningioma mimicking osteosarcoma: case report. Turk Neurosurg. 25(1):174-6, 2015
                                                                          3. Mingo K et al: Hyperostotic en plaque meningioma mimicking fibrous dysplasia of the temporal bone. Otol Neurotol. ePub, 2015
                                                                          4. Ricciardiello F et al: Temporal bone meningioma involving the middle ear: a case report. Oncol Lett. 10(4):2249-2252, 2015
                                                                          5. Thomas AJ et al: Nonparaganglioma jugular foramen tumors. Otolaryngol Clin North Am. 48(2):343-59, 2015
                                                                          6. Nicolay S et al: A case of a temporal bone meningioma presenting as a serous otitis media. Acta Radiol Short Rep. 3(10):2047981614555048, 2014
                                                                          7. Qureshi A et al: A rare infectious presentation of a temporal bone meningioma. J Neurooncol. 116(3):633-4, 2014
                                                                          8. Stevens KL et al: Middle ear meningiomas: a case series reviewing the clinical presentation, radiologic features, and contemporary management of a rare temporal bone pathology. Am J Otolaryngol. 35(3):384-9, 2014
                                                                          9. Nowak A et al: Surgical management of posterior petrous meningiomas. Neurol Neurochir Pol. 47(5):456-66, 2013
                                                                          10. Kusunoki T et al: A case report of meningioma extending to the middle ear. Clin Pract. 2(3):e67, 2012
                                                                          11. Shihada R et al: Skull base meningiomas mimicking otitis media. J Laryngol Otol. 126(6):619-24, 2012
                                                                          12. Chen LF et al: The retrosigmoid approach to petroclival meningioma surgery. J Clin Neurosci. 18(12):1656-61, 2011
                                                                          13. Keereweer S et al: Chronic serous otitis media as a manifestation of temporal meningioma. ORL J Otorhinolaryngol Relat Spec. 73(5):287-90, 2011
                                                                          14. Cenacchi G et al: Secretory meningioma of the middle ear: a light microscopic, immunohistochemical and ultrastructural study of one case. Neuropathology. 28(1):69-73, 2008
                                                                          15. Ayache D et al: Serous otitis media revealing temporal en plaque meningioma. Otol Neurotol. 27(7):992-8, 2006
                                                                          16. Hamilton BE et al: Imaging and clinical characteristics of temporal bone meningioma. AJNR Am J Neuroradiol. 27(10):2204-9, 2006
                                                                          17. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                                                          18. Laudadio P et al: Meningioma of the internal auditory canal. Acta Otolaryngol. 124(10):1231-4, 2004
                                                                          19. Thompson LD et al: Primary ear and temporal bone meningiomas: a clinicopathologic study of 36 cases with a review of the literature. Mod Pathol. 16(3):236-45, 2003
                                                                          20. Lawand A et al: Pathology quiz case. Middle ear meningioma. Arch Otolaryngol Head Neck Surg. 128(8):975-7, 2002
                                                                          21. Schick B et al: Magnetic resonance imaging in patients with sudden hearing loss, tinnitus and vertigo. Otol Neurotol. 22(6):808-12, 2001
                                                                          22. Prayson RA: Middle ear meningiomas. Ann Diagn Pathol. 4(3):149-53, 2000
                                                                          23. O'Reilly RC et al: Primary extracranial meningioma of the temporal bone. Otolaryngol Head Neck Surg. 118(5):690-4, 1998
                                                                          24. Hooper R et al: Temporal bone meningiomas. Aust N Z J Surg. 60(10):779-86, 1990
                                                                          25. Salama N et al: Meningiomas presenting in the middle ear. Laryngoscope. 92(1):92-7, 1982
                                                                          26. Guzowski J et al: Meningiomas of the temporal bone. Laryngoscope. 86(8):1141-6, 1976