Atypical Presentation of Cerebellopontine Angle Meningioma as an Aural Polyp: A Case Repor

Meningiomas rarely involve the middle ear, typically arising as extensions of cerebellopontine angle (CPA) tumours.Symptoms include hearing loss, vertigo, and otorrhoea.Advanced imaging is critical for diagnosis.A 49-year woman presented with progressive hearing loss, vertigo, and blood-tinged otorrhoea.Initial examination revealed an aural polyp for which she was operated, and biopsy showed meningioma.Histopathology confirmed grade I meningioma.Subsequent MRI identified a CPA meningioma with petrous attachment.Gross total resection via retro-sigmoid craniectomy resolved symptoms except sensorineural hearing loss.CPA meningiomas may masquerade as aural polyps.Biopsy of refractory otologic lesions and MRI are essential to exclude intracranial extension.Early interdisciplinary management optimises outcomes.