Spinal Clear Cell Meningioma: Atypical Clinical and Radiological Manifestations

Abstract

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.

Spinal clear cell meningioma without dural attachment: a case report and literature review

“…in 2018 [19] and a case reported by Alsadiq et al. in 2021 [20] . The rarity of bone destruction may be explained by the fact that neurological symptoms usually appear before bone involvement due to the limited space of the spine canal, especially in the lumbosacral region.…”