Spinal tumour: primary cervical extradural meningioma at an unusual location

Pant, Ishita; Gautam, Vinay; Kumari, Rima; Chaturvedi, Sujata

doi:10.21037/jss.2017.08.11

Cited by 9 publications

(15 citation statements)

References 9 publications

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“…Meningiomas account for 25% to 46% of primary spinal neoplasms, while the incidence of spinal meningiomas is 7.5% to 12.7% of all meningiomas (1) . A purely extradural position at cervical spine as reported in this paper is quite exceptional and to the best of our knowledge, only 10 cases have been reported in the literature so far (2) . Although extremely rare, the possibility of an extradural mass being a meningioma does exist.…”

Section: Introductionmentioning

confidence: 49%

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

Raesh¹,

Shetty²

2021

IJPCCR

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Section: Introductionmentioning

confidence: 49%

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

Raesh¹,

Shetty²

2021

IJPCCR

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“…[9] Their etiology is variously attributed to metaplasia of peripheral nerve cells or migration of arachnoid cells that invaded the dura during embryogenesis. [3,6-8,10]…”

Section: Discussionmentioning

confidence: 99%

Extradural en-plaque spinal lipomatous meningioma: A case report and literature review

Eulate-Beramendi

Piña-Batista

Rial-Basalo

2019

Surgical Neurology International

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Background: Extradural spinal meningiomas are rare, and few appear as lipomatous meningiomas in an “en-plaque” form. The transitional fibroblastic subtype, with lipid accumulation within the tumoral cells, is typically more aggressive and surgically challenging to resect. Case Description: A 42-year-old male presented with neck pain and progressive paresthesias in both upper extremities. Based on the radiological findings, the tentative preoperative diagnosis was lymphoma. However, the biopsy confirmed a meningioma. The patient underwent a combined extradural anterior and posterior approach, resulting in full tumor resection. Histopathologically, the final report documented a lipomatous meningioma. Conclusion: Extradural spinal lipomatous meningiomas (i.e., “en-plaque”) are rare and typically result in rapid clinical deterioration. The radiological diagnosis may be difficult, while ultrasonography helps to define their extradural location facilitating planning for gross total anterior/posterior excision where indicated.

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“…In atypical meningiomas a recurrence rate was 29-52%, in anaplastic meningiomas it was 50-95% after Simpson 1 or 2 resection and a delay of 2-5 years. According to Ishita Panti [51] after resection of atypical WHO grade 2-3, it may be interesting to apply radiotherapy.…”

Section: -Evolution-prognosismentioning

confidence: 99%

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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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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Spinal tumour: primary cervical extradural meningioma at an unusual location

Cited by 9 publications

References 9 publications

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

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

Extradural en-plaque spinal lipomatous meningioma: A case report and literature review

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

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