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Orbit. 2012 Oct;31(5):341-3. doi: 10.3109/01676830.2012.678918. Epub 2012 May 25.

Diffuse symmetric meningioma en plaque mimicking metabolic disease of bone.

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  • 1Department of Ophthalmology, Emory University, Atlanta, GA, USA.


A 50-year-old African American woman with right proptosis and decreased vision demonstrated symmetric, bilateral thickening of the sphenoid wings, calvarium, and skull base on computed tomography. Histopathologic evaluation of the hyperostotic lesion was consistent with meningotheliomatous meningioma. The patient underwent uncomplicated right frontal orbital craniectomy with postoperative radiation. The presentation of en plaque meningioma, when diffuse and symmetric, can mimic a metabolic disease of bone.

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