case_images: PMC3214485_01
case_images: Preoperative picture of the patient showing a large right frontal swelling
case_images: JSTCR-2-24-g001.jpg
case_images: PMC3214485_01_JSTCR-2-24-g001.jpg
case_images: F1
case_images: A five-year-old boy presented with seven weeks' history of a progressive and painless swelling on the right side of the forehead and temporal region [Figure 1]. It was multinodular with cystic and solid components, not tender, but fixed to the underlying skull [Figure 1].
case_images: Preoperative contrast brain CT scan showing a huge extra axial tumor in the right fronto-temporal area, destroying the frontal bone with intra- and extracranial components. There is effacement of the ventricles
case_images: JSTCR-2-24-g002.jpg
case_images: PMC3214485_01_JSTCR-2-24-g002.jpg
case_images: F2
case_images: It had a central cystic component and a large right frontotemporal skull defect [Figure 2].
case_images: Intraoperative image of the patient. After removal of the pathological bone, cranioplasty with molded methyl methacrylate was carried out. The implant was kept in place with a Nylon 1 suture
case_images: JSTCR-2-24-g003.jpg
case_images: PMC3214485_01_JSTCR-2-24-g003.jpg
case_images: F3
case_images: The patient had a one-stage bifrontal craniectomy, with complete tumor excision, and frontal cranioplasty with antibiotic impregnated methyl methacrylate [Figure 3].
case_images: Photomicrograph of the excised tumor, showing neurofibroma composed of proliferating spindle-shaped cells, with dark nuclei, disposed in a loose myxoid background. The cells have wavy to comma-shaped nuclei and moderate cytoplasm. H and E stain, x400
case_images: JSTCR-2-24-g004.jpg
case_images: PMC3214485_01_JSTCR-2-24-g004.jpg
case_images: F4
case_images: The histology report was consistent with neurofibroma [Figure 4].
case_images: Postoperative contrast CT at eight weeks. There was reexpansion of the right frontal lobe
case_images: JSTCR-2-24-g005.jpg
case_images: PMC3214485_01_JSTCR-2-24-g005.jpg
case_images: F5
case_images: Brain C T scan at eight weeks post surgery showed no residual tumor [Figure 5].