# Surgical Management of a Painful Temporal Bone En Plaque Meningioma: A Case Report and Review of the Literature

## TL;DR

A woman with a rare type of meningioma in her temporal bone experienced pain relief after surgery, highlighting the importance of surgical options for such cases.

## Contribution

This case report adds to the literature by emphasizing surgical management for painful temporal bone en plaque meningiomas.

## Key findings

- A 42-year-old woman with a painful temporal bone en plaque meningioma achieved pain relief through surgical resection.
- The case highlights the role of pain in influencing surgical decisions for this rare meningioma subtype.
- Literature review reveals variable presentations and management strategies for temporal bone en plaque meningiomas.

## Abstract

Temporal bone en plaque meningiomas can present management challenges, particularly when accompanied by severe pain. We report the case of a 42-year-old woman who was initially diagnosed with chronic otitis media but was later found to have a painful left temporal bone en plaque meningioma. Despite conservative therapy, her pain progressed, prompting the decision to undergo surgical resection, which resulted in considerable pain relief. This report illustrates the influence of pain on surgical decision-making for temporal bone en plaque meningiomas and reviews the literature on their variable presentations and management strategies.