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Cervical spinal meningioma mimicking intramedullary spinal tumor.
Spine (Phila Pa 1976). 2009 Jan 01; 34(1):E45-9.S

Abstract

STUDY DESIGN

Case report.

OBJECTIVE

To report a very unusual spinal meningioma, mimicking an intramedullary spinal tumor.

SUMMARY OF BACKGROUND DATA

Spinal meningiomas, usually associated with signs and symptoms of cord or nerve root compression, are generally encountered in women aged over 40. Radiologic diagnosis is often established by their intradural extramedullary location on magnetic resonance images.

METHODS

A 60-year-old woman had a 6-month history of progressive weakness in her upper extremities, difficulty in walking, and cervical pain radiating through both arms. Neurologic examination revealed motor strength deficiency in all her extremities, with extensor reflexes, clonus, and bilateral hyper-reflexiveness. A sensory deficit was present all over her body. Magnetic resonance images revealed that the spinal cord appeared expanded with an ill-defined, homogeneously contrast-enhanced, lobulated, eccentric mass at the C1-C3 level. The patient was operated with a preliminary diagnosis of an intramedullary tumor.

RESULTS

At surgery, the mass was found to be extramedullary, and gross total resection was performed. Histopathological examination revealed a meningioma characterized by the presence of fibrous and meningothelial components. The patient was able to ambulate with a cane, and extremity strength and sensation improved 2 months after surgery.

CONCLUSION

Spinal meningiomas can mimic intramedullary tumors, and should be considered in differential diagnosis of intradural tumors with atypical appearance.

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Authors+Show Affiliations

Senturk S
Department of Radiology, Dicle University School of Medicine, Diyarbakir, Istanbul, Turkey. ssenturk@dicle.edu.tr
Guzel A
No affiliation info available
Guzel E
No affiliation info available
Bayrak AH
No affiliation info available
Sav A
No affiliation info available

MeSH

Cervical VertebraeDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingMeningiomaMiddle AgedSpinal Cord NeoplasmsSpinal Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19127148

Citation

Senturk, Senem, et al. "Cervical Spinal Meningioma Mimicking Intramedullary Spinal Tumor." Spine, vol. 34, no. 1, 2009, pp. E45-9.
Senturk S, Guzel A, Guzel E, et al. Cervical spinal meningioma mimicking intramedullary spinal tumor. Spine (Phila Pa 1976). 2009;34(1):E45-9.
Senturk, S., Guzel, A., Guzel, E., Bayrak, A. H., & Sav, A. (2009). Cervical spinal meningioma mimicking intramedullary spinal tumor. Spine, 34(1), E45-9. https://doi.org/10.1097/BRS.0b013e318189fd20
Senturk S, et al. Cervical Spinal Meningioma Mimicking Intramedullary Spinal Tumor. Spine (Phila Pa 1976). 2009 Jan 1;34(1):E45-9. PubMed PMID: 19127148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervical spinal meningioma mimicking intramedullary spinal tumor. AU - Senturk,Senem, AU - Guzel,Aslan, AU - Guzel,Ebru, AU - Bayrak,Aylin Hasanefendioğlu, AU - Sav,Aydin, PY - 2009/1/8/entrez PY - 2009/1/8/pubmed PY - 2009/3/10/medline SP - E45 EP - 9 JF - Spine JO - Spine (Phila Pa 1976) VL - 34 IS - 1 N2 - STUDY DESIGN: Case report. OBJECTIVE: To report a very unusual spinal meningioma, mimicking an intramedullary spinal tumor. SUMMARY OF BACKGROUND DATA: Spinal meningiomas, usually associated with signs and symptoms of cord or nerve root compression, are generally encountered in women aged over 40. Radiologic diagnosis is often established by their intradural extramedullary location on magnetic resonance images. METHODS: A 60-year-old woman had a 6-month history of progressive weakness in her upper extremities, difficulty in walking, and cervical pain radiating through both arms. Neurologic examination revealed motor strength deficiency in all her extremities, with extensor reflexes, clonus, and bilateral hyper-reflexiveness. A sensory deficit was present all over her body. Magnetic resonance images revealed that the spinal cord appeared expanded with an ill-defined, homogeneously contrast-enhanced, lobulated, eccentric mass at the C1-C3 level. The patient was operated with a preliminary diagnosis of an intramedullary tumor. RESULTS: At surgery, the mass was found to be extramedullary, and gross total resection was performed. Histopathological examination revealed a meningioma characterized by the presence of fibrous and meningothelial components. The patient was able to ambulate with a cane, and extremity strength and sensation improved 2 months after surgery. CONCLUSION: Spinal meningiomas can mimic intramedullary tumors, and should be considered in differential diagnosis of intradural tumors with atypical appearance. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/19127148/Cervical_spinal_meningioma_mimicking_intramedullary_spinal_tumor_ L2 - https://doi.org/10.1097/BRS.0b013e318189fd20 DB - PRIME DP - Unbound Medicine ER -