Severe Headache as the Sole Presenting Feature in a Rare Papillary Meningioma: A Case Report

Meningiomas make up around 13-26% of all brain tumours. However, papillary meningioma accounts for only 1 – 2.5% of all meningiomas. Papillary meningiomas are rare and very aggressive in nature. The available literature regarding the ideal management of papillary meningioma is scarce. We present a case of a 30 years old man with complaints of no other symptoms except headache. On investigation, contrast MRI brain showed right parietal extra axial mass suggestive of malignant meningioma. Routine blood test were otherwise within the normal range. GCS of the patient was 15/15 pre operatively. Excision of the lesion was done via right parietal craniectomy followed by lax duraplasty. Immediate post operative neurological status was same as the pre operative neurological status. Pathological investigation suggested that the tumour was papillary type of meningioma. Patient was advised to follow up in Radiation oncology department for radiotheraphy.