PMC4395944_01
Preoperative photograph
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F1
The swelling was disfiguring and pushing the left ear downwards and outwards [Figure 1].
(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
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F2
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.
Post first surgery computed tomography brain
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F3
The whole extracranial portion was removed, and the patient lost 2.5 L of blood [Figure 3].
Post second surgery computed tomography brain
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F4
Postoperative computed tomography (CT) brain was done after 4 h and it showed no operative site hematoma [Figure 4].
Postoperative magnetic resonance imaging T1 postgadolinium
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F5