Wilson Prishae, Bhatt Alok A, Edgar Mark A, Quiñones-Hinojosa Alfredo, Almeida João Paulo, Raymond Mallory
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic in Florida, Jacksonville, Florida, United States.
Department of Radiology, Mayo Clinic in Florida, Jacksonville, Florida, United States.
J Neurol Surg Rep. 2025 Jun 16;86(2):e122-e126. doi: 10.1055/a-2625-9498. eCollection 2025 Apr.
Temporal bone en plaque meningiomas can present management challenges, particularly when accompanied by severe pain. We report the case of a 42-year-old woman who was initially diagnosed with chronic otitis media but was later found to have a painful left temporal bone en plaque meningioma. Despite conservative therapy, her pain progressed, prompting the decision to undergo surgical resection, which resulted in considerable pain relief. This report illustrates the influence of pain on surgical decision-making for temporal bone en plaque meningiomas and reviews the literature on their variable presentations and management strategies.
颞骨板状脑膜瘤在治疗上可能会带来挑战，尤其是伴有严重疼痛时。我们报告了一例42岁女性病例，该患者最初被诊断为慢性中耳炎，但后来发现患有左侧疼痛性颞骨板状脑膜瘤。尽管进行了保守治疗，她的疼痛仍在进展，促使决定进行手术切除，术后疼痛得到了显著缓解。本报告阐述了疼痛对颞骨板状脑膜瘤手术决策的影响，并回顾了关于其不同表现和治疗策略的文献。
