Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation

Background: Chordoid Meningioma is a rare brain tumour characterized genetically by loss of genetic material from chromosome 22q at cytogenetic level resulting in mutation of NF2 gene. Objectives and case report: In the present report, we described a rare case of suprasellar chordoid meningioma,...

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Main Authors: Imad Fadl-Elmula, Rania Giha, Sawsan AH Deaf, Lamyaa Ahmed El Hassan, Ahmed M. Hassan, Mohamed AR Arbab
Format: Article
Language:English
Published: Knowledge E 2017-09-01
Series:Sudan Journal of Medical Sciences
Online Access:https://knepublishing.com/index.php/SJMS/article/view/1001
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author Imad Fadl-Elmula
Rania Giha
Sawsan AH Deaf
Lamyaa Ahmed El Hassan
Ahmed M. Hassan
Mohamed AR Arbab
author_facet Imad Fadl-Elmula
Rania Giha
Sawsan AH Deaf
Lamyaa Ahmed El Hassan
Ahmed M. Hassan
Mohamed AR Arbab
author_sort Imad Fadl-Elmula
collection DOAJ
description Background: Chordoid Meningioma is a rare brain tumour characterized genetically by loss of genetic material from chromosome 22q at cytogenetic level resulting in mutation of NF2 gene. Objectives and case report: In the present report, we described a rare case of suprasellar chordoid meningioma, which presented in a 32-year-old-woman. Her only complain was throbbing headache. Neurological examination showed left temporal hemianopia, decreased visual acuity (3/6), and no physical abnormalities related to Castleman syndrome were noted. Cranial magnetic resonance (MR) images demonstrated a 28x15 mm mass in the sellar region, which showed iso-to low intensity that enhanced vividly after gadolinium with upwards displacement of the Optic chiasm. Total surgical excision of the tumour was performed and subsequent histological examination of the tumour showed typical histology pattern of chordoid meningioma grade II according to the WHO classification system of meningiomas. Genomic DNA was extracted and mutation analysis for INI1 gene using primer of exon 4, 5, 7, and 9 showed mutation involving exon 9. DNA sequencing showedheterozygosity C­­­­­­­­­­­­­­­­­­-T mutation in exon 9 of INI1 gene leading to change of amino acid serine to phenylalanine at (codon 63). The details of this case are presented with a review of the literature.
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spelling doaj-art-d58d1cdd803147818263bc397bcd54502025-01-24T11:20:02ZengKnowledge ESudan Journal of Medical Sciences1858-50512017-09-0112319820610.18502/sjms.v12i3.10011001Rare Suprasellar Chordoid Meningioma with INI1 Gene MutationImad Fadl-ElmulaRania GihaSawsan AH DeafLamyaa Ahmed El HassanAhmed M. HassanMohamed AR ArbabBackground: Chordoid Meningioma is a rare brain tumour characterized genetically by loss of genetic material from chromosome 22q at cytogenetic level resulting in mutation of NF2 gene. Objectives and case report: In the present report, we described a rare case of suprasellar chordoid meningioma, which presented in a 32-year-old-woman. Her only complain was throbbing headache. Neurological examination showed left temporal hemianopia, decreased visual acuity (3/6), and no physical abnormalities related to Castleman syndrome were noted. Cranial magnetic resonance (MR) images demonstrated a 28x15 mm mass in the sellar region, which showed iso-to low intensity that enhanced vividly after gadolinium with upwards displacement of the Optic chiasm. Total surgical excision of the tumour was performed and subsequent histological examination of the tumour showed typical histology pattern of chordoid meningioma grade II according to the WHO classification system of meningiomas. Genomic DNA was extracted and mutation analysis for INI1 gene using primer of exon 4, 5, 7, and 9 showed mutation involving exon 9. DNA sequencing showedheterozygosity C­­­­­­­­­­­­­­­­­­-T mutation in exon 9 of INI1 gene leading to change of amino acid serine to phenylalanine at (codon 63). The details of this case are presented with a review of the literature.https://knepublishing.com/index.php/SJMS/article/view/1001
spellingShingle Imad Fadl-Elmula
Rania Giha
Sawsan AH Deaf
Lamyaa Ahmed El Hassan
Ahmed M. Hassan
Mohamed AR Arbab
Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
Sudan Journal of Medical Sciences
title Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
title_full Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
title_fullStr Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
title_full_unstemmed Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
title_short Rare Suprasellar Chordoid Meningioma with INI1 Gene Mutation
title_sort rare suprasellar chordoid meningioma with ini1 gene mutation
url https://knepublishing.com/index.php/SJMS/article/view/1001
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