A case of extradural spinal meningioma.

Spinal meningiomas are usually intra dural tumors, the purely extra dural localization is exceptional, they are easily mistaken for malignant tumor resulting in inadequate management. Only 77 cases have been reported in the literature. Less than 28 cases have been confirmed after durotomy since 1898. We report a new observation followed by an analytical review of the literature with a study of the socio-epidemiological, radiological parameters and of the neurosurgical and progressive management of extra dural spinal meningiomas. Observation: a 57-year-old, female patient with no medical history was admitted to our training for slow dorsal spinal cord compression progression since 06 months. Neurological examination found FRANKEL stage C paraplegia, higher level D7 hypoaesthesia without sphincter disorders. The medullary MRI objectified an intraspinal process of 1.5x2x1cm, well limited, of the right posterolateral of D8-D9 causing compression of the dorsal cord with an intramedullary hyper signal in T2. The D8-D9 laminectomy was performed. Surgical exploration found an extra dural lesion without intra dural extension. The excision was macroscopically complete. Histological examination was in favor of a benign meninigothelial. The post-operative course was marked by a partial and progressive recovery of the neurological deficit and no recurrence. Discussion: the retrospective analysis of literature about 49 publications was founded that, the incidence in 1933 by Elsberg was 5.5%, Haft in 1963 found 3.5%. In 2020 our study found 3.46% of all spine meningioma. The mean age is 44.19 years [8 years -85 years] with a female predominance of 2/1. The mode of revelation is in 11.53% of fortuitous discovery, in 59.93% by the high state of spinal cord compression stage C of FRANKEL. The topography is dorsal = 51.31%, cervical = 44.76%. MRI scan has been use since 1996 at 67.60%. Laminectomy was performed in 71.79% with durotomy in 11%. The excision is complete with SIMPSON I in 70% and SYMPSON III in 27%. The predominant histological is a grade 1 of meningioma = 73.41%, grade 2 = 6.32%, grade 3 = 1.26% in 19 % meningioma was not specified by the authors. Conclusion: The prognosis of extra dural spinal meningiomas according to our study is good overall with only 3 cases of recurrence of spinal meningioma in 36 patients, or 8.33% after a mean follow-up of 31.59 months [1 -168 months] with P=0,012.

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“…Our results are in agreement with the study of Soheilla and Anna lois [17][18][19][20][21][22][23][24][25][26][27][28][29][30] .…”

Section: -Neuroimagingsupporting

confidence: 93%

“…All of the 78 patients were treated surgically. Laminectomy was performed in 56 cases, (71.79%) in agreement with the study of King and Roux [19][20][21][22][23][24] . Laminotomy is performed especially in young patients in 2 cases (2.5%), so that the anterior approach was performed in 2 cases, (2.5%) [2-33-34] .…”

Section: -Surgical Managementsupporting

confidence: 62%

A Rare Case of Extra Dural Dorsal Meningioma; Case Report and Analytique Review of Literature about 77 Cases

Koffi¹,

Salami

Elkacemi

et al. 2021

ijirms

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“…Atypical Lhermitte phenomenon triggered by other types of spinal movement such as rotation can occur with extrinsic compression of the spinal cord. 14 With post-traumatic Lhermitte phenomenon, the distinction between intrinsic and extrinsic spinal cord pathology is less clear. Lhermitte's interest in this sensory disturbance was first attracted by descriptions of its occurrence following spinal trauma, and his first publication in 1920 concerns the post-traumatic form.…”

Section: Discussionmentioning

confidence: 98%

The Lhermitte phenomenon: Variant forms and their significance

Kempster¹,

Rollinson²

2008

Journal of Clinical Neuroscience

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“…[24] Extradural spinal meningiomas are very rare and account for only 2.5–3.5% of all spinal meningiomas. [405166] Multiple spinal meningiomas also occur rarely.…”

Section: Introductionmentioning

confidence: 99%

“…Meningiomas account for 25–46% of primary spinal tumors,[ 14 ] with a peak age of 40–70 years, a female ratio = 4:1 overall, and the most frequent location in the thoracic spine. [ 24 ] Extradural spinal meningiomas are very rare and account for only 2.5–3.5% of all spinal meningiomas. [ 40 51 66 ] Multiple spinal meningiomas also occur rarely.…”

Section: Introductionmentioning

confidence: 99%

Dorsal extradural meningioma: Case report and literature review

et al. 2016

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Background:Extradural spinal mass lesions are most commonly metastatic tumors. Extradural meningiomas are rare, accounting for approximately 2.5–3.5% of spinal meningiomas; intraoperatively, they are easily mistaken for malignant tumors, especially in the en plaque variety, resulting in inadequate surgical treatment.Case Description:Our case is one of the first to describe a patient with two purely extradural meningiomas, one each between D3–D4 and between D5–D6 vertebral levels. Surgical resection was radical, and pathologically both lesions were meningothelialmeningiomas.Conclusions:Reviewing the literature, we discuss the pathogenesis, treatment strategies, and long-term behavior of these uncommon lesions.

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A case of extradural spinal meningioma.

Cited by 13 publications

References 8 publications

A Rare Case of Extra Dural Dorsal Meningioma; Case Report and Analytique Review of Literature about 77 Cases

A Rare Case of Extra Dural Dorsal Meningioma; Case Report and Analytique Review of Literature about 77 Cases

The Lhermitte phenomenon: Variant forms and their significance

Dorsal extradural meningioma: Case report and literature review

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