Primary cervical extradural Meningioma presenting as neck mass — an unusual presentation of rare case

Raesh, T; Shetty, Darshan

doi:10.51131/ijpccr/v2i2.5

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Extradural spinal meningiomas are rare (2.5-3.5% or lower of all spinal meningiomas) ( 3 , 4 ) and are associated with a more rapid progression and an aggressive phenotype compared with intradural spinal meningiomas ( 7 , 15 ). In previous studies, the nerve root tumor was usually found in patients that already had obvious neurology signs, such as paraplegia ( 9 , 16-18 ), and to the best of our knowledge, there have only been four previous reports of extradural spinal meningiomas diagnosed without signs of clinical myelopathy ( 19-22 ); these are presented in Table I .…”

Section: Discussionmentioning

confidence: 98%

Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report

Hsieh,

Lu,

Huang

et al. 2024

Exp Ther Med

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Extradural meningiomas are rare in the cervical region. A total of 70-77% of reported cases have occurred in the thoracic region. Tumors that occur in the cervical region may invade the adjacent nerve root and brachial plexus. Typically, diagnoses of extradural meningioma are made after patients present with signs of myelopathy, such as progressive paresis and numbness. In the current study, a 64-year-old male patient presented with neck pain, numbness and mild weakness in the left hand over a 6-month period. The general neurological examination was unremarkable, except for mild grasping weakness on the left side. Needle electromyography revealed complex repetitive discharges in the left 5 and 6th cervical paraspinal muscles. Neuromuscular ultrasound revealed a lesion over the left 7th cervical root, which enabled the early detection of an extradural meningioma before notable focal neurological defects developed. The patient underwent a subtotal tumor excision, followed by radiotherapy for residual tumor. Histopathological examination confirmed atypical meningioma.

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Section: Discussionmentioning

confidence: 98%

Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report

Hsieh,

Lu,

Huang

et al. 2024

Exp Ther Med

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“…A solitary, non-pulsatile mass was found over the left posterior cervical triangle. [7] Case 2 was a 57-year-old female with progressive sensorimotor disturbance for 1 year. Neurological examination revealed diminished pinprick sensation over the left side 7 th cervical dermatome and reduced strength of 2/5 in the left interosseous muscle, according to the Medical Research Council Scales of Great Britain.…”

Section: Our Casementioning

confidence: 99%

An unusual clinical presentation of cervical extradural meningiomas and detected with neuromuscular ultrasound: A case report and literature review

Hsieh

Huang

et al. 2023

Preprint

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Background: Extradural meningiomas are exceedingly rare, with most occurring in the thoracic region. If the tumor occurs in the cervical region, it may invade the adjacent nerve root and brachial plexus. Usually, the patient may not be diagnosed until presenting with signs of myelopathy, such as progressive paresis and numbness. Case presentation: We report a 64-year-old male patient with neck pain followed by numbness and very mild weakness of the left hand for 6 months. The general neurological examination was grossly normal expect for mild grasping weakness over left side. Neuromuscular ultrasound revealed a lesion over the left 7th cervical root. The patient received subtotal tumor excision followed by radiotherapy for residual tumor. Histopathology revealed atypical meningioma (WHO grade II). Conclusion: Neuromuscular ultrasound allowed for detection and diagnosis cervical brachial plexus tumor at an early stage before significant focal neurological defects developed.

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Primary cervical extradural Meningioma presenting as neck mass — an unusual presentation of rare case

Cited by 2 publications

References 9 publications

Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report

Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report

An unusual clinical presentation of cervical extradural meningiomas and detected with neuromuscular ultrasound: A case report and literature review

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