Primary Extracranial Meningioma as a very Rare Cause of Nasal Mass and Epistaxis in an Elderly.

Meningioma is known to be an intracranial pathology, but it can also present extracranially. We report a case of a 55-year-old female who presented to the Ear, Nose and Throat (ENT) emergency with a complaint of epistaxis for 1 day. There was a 7-8years history of self-resolving intermittent epistaxis. Nasal examination revealed a mass from which biopsy was taken. The specimen showed meningioma on histopathological examination. The mass was excised by ENT surgeons through lateral rhinotomy incision. It was confirmed to be a meningioma by final histopathological examination. The patient was discharged on 10th post-operative day after suture removal under stable condition and was symptom free on regular follow-ups. Worldwide there have been very less number of cases of primary extracranial meningioma causing symptoms of epistaxis, nasal obstruction and a large sinonasal mass in an elderly.