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Asian J Neurosurg. 2019 Jan-Mar;14(1):231-233. doi: 10.4103/ajns.AJNS_219_17.

Skull Vault Plasmacytoma Mimicking Parasagittal Meningioma: "Mini-Brain Appearance".

Author information

1
Department of Neurosurgery, Paras Hospital, Gurugram, Haryana, India.
2
Department of Histopathology, Sir Ganga Ram Hospital, New Delhi, India.

Abstract

Plasmacytomas occur as lesions in soft tissue or bone. Skull vault plasmacytomas are rare lesions comprising 0.7% of all plasmacytomas. Workup for myeloma must be done in such cases to rule out multiple myeloma. Here, we report a case of a 63-year-old female who presented to us with a large skull vault swelling which appeared to mimic a parasagittal meningioma on imaging. Histopathological imaging revealed it to be a plasmacytoma. A retrospective review of the radiology revealed the characteristic "mini-brain appearance" in our case. Literature on the subject is also reviewed.

KEYWORDS:

Mini brain; plasmacytoma; skull; vault

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