case_images: PMC4395944_01
case_images: Preoperative photograph
case_images: JPN-10-41-g001.jpg
case_images: PMC4395944_01_JPN-10-41-g001.jpg
case_images: F1
case_images: The swelling was disfiguring and pushing the left ear downwards and outwards [Figure 1].
case_images: (a) Preoperative contrast-enhanced computed tomography brain. (b) Preoperative magnetic resonance imaging T2 axial. (c) Preoperative magnetic resonance imaging saturation weighted images axial. (d) Preoperative magnetic resonance imaging T1 postgadolinium axial
case_images: JPN-10-41-g002.jpg
case_images: PMC4395944_01_JPN-10-41-g002.jpg
case_images: F2
case_images: Noncontrast computerized tomography scan [Figure 2] showed an extra-axial heterogenous lesion extending up to middle cranial fossa, posterior fossa up to cerebellopontine angle and the extracranial temporal and infratemporal fossa with intense enhancement following contrast administration. T2-WI [Figure 2]. The lesion was extending both inside and outside the calvarium with destruction of left temporal bone. The lesion showed heterogenous enhancement on gadolinium injection.
case_images: Post first surgery computed tomography brain
case_images: JPN-10-41-g003.jpg
case_images: PMC4395944_01_JPN-10-41-g003.jpg
case_images: F3
case_images: The whole extracranial portion was removed, and the patient lost 2.5 L of blood [Figure 3].
case_images: Post second surgery computed tomography brain
case_images: JPN-10-41-g004.jpg
case_images: PMC4395944_01_JPN-10-41-g004.jpg
case_images: F4
case_images: Postoperative computed tomography (CT) brain was done after 4 h and it showed no operative site hematoma [Figure 4].
case_images: Postoperative magnetic resonance imaging T1 postgadolinium
case_images: JPN-10-41-g005.jpg
case_images: PMC4395944_01_JPN-10-41-g005.jpg
case_images: F5