Purely extradural spinal meningioma: a case report and literature review

Cher Shui; John Turchini; Mark Davies

doi:10.25259/SNI_653_2021

Purely extradural spinal meningioma: a case report and literature review

Cher Shui, John Turchini, Mark Davies

Research output: Contribution to journal › Article › peer-review

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Abstract

Background: Purely extradural spinal meningiomas (ESMs) are exceptionally rare and are often incorrectly diagnosed as metastases, hematological malignancies, or schwannomas. Here, we report a 66-year-old female who presented with an isolated extradural ESM.

Case Description: A 66-year-old female presented with a 2.5-year history of a progressive paraparesis (i.e. T7 level) associated with a T5 sensory level. The MR showed a heterogeneously enhancing lesion circumferentially involving the spinal cord from T3 to T5, with left-sided T4/5 foraminal extension. Following a Simpson Grade 2 resection, the patient rapidly recovered full neurological function.

Conclusion: The vast majority of the rarely encountered purely ESM are benign. Although gross total resection is optimal, additional adjunctive treatments are available for those treated with subtotal resections.

Original language	English
Article number	431
Pages (from-to)	1-4
Number of pages	4
Journal	Surgical Neurology International
Volume	12
DOIs	https://doi.org/10.25259/SNI_653_2021
Publication status	Published - 30 Aug 2021

Bibliographical note

Keywords

Gross total resection
Purely extradural meningioma
Spinal meningioma

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10.25259/SNI_653_2021Licence: CC BY-NC-SA

Publisher version (open access)Final published version, 598 KBLicence: CC BY-NC-SA

Cite this

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abstract = "Background: Purely extradural spinal meningiomas (ESMs) are exceptionally rare and are often incorrectly diagnosed as metastases, hematological malignancies, or schwannomas. Here, we report a 66-year-old female who presented with an isolated extradural ESM. Case Description: A 66-year-old female presented with a 2.5-year history of a progressive paraparesis (i.e. T7 level) associated with a T5 sensory level. The MR showed a heterogeneously enhancing lesion circumferentially involving the spinal cord from T3 to T5, with left-sided T4/5 foraminal extension. Following a Simpson Grade 2 resection, the patient rapidly recovered full neurological function. Conclusion: The vast majority of the rarely encountered purely ESM are benign. Although gross total resection is optimal, additional adjunctive treatments are available for those treated with subtotal resections.",

keywords = "Gross total resection, Purely extradural meningioma, Spinal meningioma",

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AB - Background: Purely extradural spinal meningiomas (ESMs) are exceptionally rare and are often incorrectly diagnosed as metastases, hematological malignancies, or schwannomas. Here, we report a 66-year-old female who presented with an isolated extradural ESM. Case Description: A 66-year-old female presented with a 2.5-year history of a progressive paraparesis (i.e. T7 level) associated with a T5 sensory level. The MR showed a heterogeneously enhancing lesion circumferentially involving the spinal cord from T3 to T5, with left-sided T4/5 foraminal extension. Following a Simpson Grade 2 resection, the patient rapidly recovered full neurological function. Conclusion: The vast majority of the rarely encountered purely ESM are benign. Although gross total resection is optimal, additional adjunctive treatments are available for those treated with subtotal resections.

KW - Gross total resection

KW - Purely extradural meningioma

KW - Spinal meningioma

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Purely extradural spinal meningioma: a case report and literature review

Abstract

Bibliographical note

Keywords

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