Recurrent parotid pleomorphic adenoma with transcranial spread

Recurrence of pleomorphic adenoma after excision is a well-known phenomenon and can present years after surgical resection of the primary tumor. Recurrent lesions are frequently located in the parapharyngeal space whereas transcranial spread with intracranial invasion is exceptionally rare and has only been sparsely reported. A rare case of transcranial spread of recurrent Pleomorphic adenoma in a 40-year-old patient with preauricular swelling is presented.