case_images: PMC5820862_01
case_images: X-ray skull was normal showing no bony lesion or lytic lesion. Inset (upper left) demonstrates the occipital swelling of the case
case_images: AJNS-13-110-g001.jpg
case_images: PMC5820862_01_AJNS-13-110-g001.jpg
case_images: F1
case_images: Skull X-ray and all the laboratory investigations were normal [Figure 1].
case_images: Cytological smear showing cohesive clusters and scattered single meningothelial cells having indistinct cytoplasmic borders, round to oval nuclei and inconspicuous nucleoli. Inset (lower left) exhibits a psammomatous calcification. (Leishman-Giemsa, x400)
case_images: AJNS-13-110-g002.jpg
case_images: PMC5820862_01_AJNS-13-110-g002.jpg
case_images: F2
case_images: Cytologically, smears were highly cellular, consisting predominantly of cohesive clusters, some seen as small tight whorls and scattered single cells [Figure 2].
case_images: Section showing dermal proliferation of spindle-shaped meningothelial cell in whorls and psammoma bodies (H and E, x100)
case_images: AJNS-13-110-g003.jpg
case_images: PMC5820862_01_AJNS-13-110-g003.jpg
case_images: F3
case_images: Psammoma bodies were noted [Figure 3].
case_images: Section showing immunostaining positivity for epithelial membrane antigen in meningothelial cells (x100)
case_images: AJNS-13-110-g004.jpg
case_images: PMC5820862_01_AJNS-13-110-g004.jpg
case_images: F4
case_images: Immunohistochemical analysis of the tissue was done and was found positive for epithelial membrane antigen (EMA) [Figure 4].