Intracranial meningioma coexistent with cholesteatoma: a case report

A rare case of intracranial meningioma coexistent with cholesteatoma, without other signs of von Recklinghausen's disease, is described. Meningioma, a tumor of mesenchymal origin arising from leptomeninges, usually develops as a solitary or multiple tumor, or in the form of meningiomatosis. It is rarely associated with other intracranial tumors. Coexistence with neurinoma, glioma - von Recklinghausen's disease, glioblastoma, pituitary adenoma, and with metastases from pulmonary, mammary and prostatic carcinoma, has been observed. Cholesteatoma develops from congenital epithelial inclusion residues. Its most common supratentorial localization is the parasellar area. In 15%-25% of cases it is found intradiploically, mostly in the frontal and parietal bone, as in the case presented. Our 73-year-old female patient with two CT-verified intracranial tumors underwent a two-act operation. Both operations proceeded well, and the treatment was completed in a rehabilitation center.