Primary Middle Ear Meningioma: Case Report and Literature Review.
Abdullah Alkhaldi, Abdulmohsen Jameel Alshammari, Mohammed Abdullah Bayounis et al.
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Case in brief
A 59-year-old man presented with two years of intermittent right-sided otorrhea and conductive hearing loss. Imaging showed middle ear opacification with erosion of the ossicles, findings that prompted surgical excision. Histopathological and immunohistochemical assessment confirmed a primary middle ear meningioma. Postoperative follow-up showed no recurrence.
What made this case unusual
The tumor was an exceptionally rare extracranial meningioma in the middle ear, where nonspecific clinical and imaging findings can resemble more common middle ear disease.
Diagnostic / clinical pearl
Middle ear opacification and ossicular erosion are not diagnostic on imaging alone; histopathology and immunohistochemistry were needed to identify the meningioma and distinguish it from common middle ear pathologies.