Deep sylvian fissure chordoid meningioma : Case report

A case of chordoid meningioma originating in the right sylvian fissure is reported. Chordoid meningiomas are uncommon tumors. This is the first reported case of a chordoid meningioma without dural attachment arising in the sylvian fissure. The patient presented with a generalized seizure. A heterogeneously enhancing right frontotemporal mass was identified on magnetic resonance imaging of the brain. The patient underwent a failed stereotactic biopsy attempt elsewhere. The tumor was ultimately resected using standard microsurgical techniques. Meningiomas originate from arachnoid cap cells and can arise at locations remote from the pachymeninges. Although rare, meningiomas should be included on the differential diagnosis of sylvian fissure lesions.