Meningioma of the conus medullaris mimicking neurofibroma—possibly radiation induced

Oikonomou, Anastasia; Birbilis, Theodosios; Daskalogiannakis, G; Prassopoulos, Panos

doi:10.1016/j.spinee.2010.12.003

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…The four cases of thoracic spinal meningiomas and a single case of spinal leiomyosarcoma implicate earlier radiation in cause. Radiation-induced meningiomas are well recognized following scalp or brain radiation ( Munk et al , 1969 ; De Tommasi et al , 2005 ) but only a single case report of meningioma in the spinal region (in the conus medullaris) following radiotherapy for bladder cancer is reported ( Oikonomou et al , 2011 ). Post-radiation leiomyosarcomas have also been documented in rare cases ( Grabowska et al , 2007 ), but never in the spine causing neurologic deficits.…”

Section: Discussionmentioning

confidence: 99%

Expanded neuromuscular morbidity in Hodgkin lymphoma after radiotherapy

Oishi

Kogelschatz

Young

et al. 2020

Brain Communications

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Our study aims to quantitate neuromuscular morbidity from radiotherapy in Hodgkin lymphoma including: (i) frequency and (ii) time of onsets for neurological localizations; (iii) degree of disabilities and (iv) number of clinical visits compared to cardiopulmonary Hodgkin lymphoma-radiation complications. Medical records from Mayo Health systems were retrieved; identifying neuromuscular radiation treated Hodgkin lymphoma-complications from 1 January 1994 to 31 December 2016. Of an estimated 4100 post-radiotherapy Hodgkin lymphoma patients, 4.6% (189) were identified with complications. Mean latency to physician visit for symptoms was 23.7 years (range: 1–50). Most commonly identified complications included: head drop 10% (19) with or without myopathy, myopathy 39% (73), plexopathy 29% (54), myelopathy 27% (51) and polyradiculopathy 13% (24). Other findings included benign and malignant nerve sheath tumours 5% (9), phrenic and long thoracic mononeuropathies 7% (14) and compressive spinal meningioma 2% (4). Patients frequently had multiple coexisting complications (single = 76% [144], double = 17% [33], triple = 4% [8], quadruple = 2% [4]). Cardiac 28% (53) and pulmonary 15% (29) complications were also seen in these patients. History of Hodgkin lymphoma was initially overlooked by neurologists (14.3%, 48/336 clinical notes). Hospital and outpatient visits for complications were frequent: neuromuscular 19% (77/411) versus cardiopulmonary 30% (125/411). Testing was largely exclusionary, except when imaging identified secondary malignancy. Modified Rankin score at diagnosis varied: 0–1 (55.8%), 2–3 (5.8%) and 4–5 (38.3%). Neuromuscular complications among post-radiation Hodgkin lymphoma are diverse, occurring in ∼1 of 20 having markedly delayed onsets often eluding diagnosis. Frequent care visits and major morbidity are common. Survivorship recommendations should recognize the diverse neurological complications.

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Section: Discussionmentioning

confidence: 99%

Expanded neuromuscular morbidity in Hodgkin lymphoma after radiotherapy

Oishi

Kogelschatz

Young

et al. 2020

Brain Communications

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“…In general, spinal tumors are classified to intradural and extradural tumors. Intradural tumors are further subdivided into intramedullary and extramedullary spinal tumors [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Spinal Clear Cell Meningioma: Atypical Clinical and Radiological Manifestations

Alsadiq

Albarbari

Alshakhs

et al. 2021

Case Reports in Surgery

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Meningioma has many subtypes with clear cell meningioma being more aggressive than other variants of meningioma and one of the rarest. We report a case of spinal clear cell meningioma that occurred in a 25-year-old lady who presented with the inability to be in the supine position. A magnetic resonance image showed an intradural mass extending from L1 to L4. Near complete excision was done. The patient had motor weakness postoperatively which improved gradually. A histopathological study showed a clear cell meningioma. In a differential diagnosis of any space-occupying lesion of the spine, clear cell meningioma should be considered though it is a rare form of meningioma due to its potential to recure. An accurate follow-up is warranted.

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Neurologic Complications of Chemotherapy and Radiation Therapy

Deutsch¹,

DeAngelis²

2014

Aminoff's Neurology and General Medicine

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Meningioma of the conus medullaris mimicking neurofibroma—possibly radiation induced

Cited by 4 publications

References 17 publications

Expanded neuromuscular morbidity in Hodgkin lymphoma after radiotherapy

Expanded neuromuscular morbidity in Hodgkin lymphoma after radiotherapy

Spinal Clear Cell Meningioma: Atypical Clinical and Radiological Manifestations

Neurologic Complications of Chemotherapy and Radiation Therapy

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