TY - JOUR T1 - Intramedullary Thoracic Meningioma: A Rare Case Report and Review of the Literature. AU - Cheng,Cheng, AU - Wang,Jianzhen, AU - Zhao,Shuiqiang, AU - Tao,Benzhang, AU - Bai,Shaocong, AU - Shang,Aijia, Y1 - 2019/05/28/ PY - 2019/04/20/received PY - 2019/05/18/revised PY - 2019/05/21/accepted PY - 2019/5/31/pubmed PY - 2020/1/18/medline PY - 2019/5/31/entrez KW - Intramedullary KW - Meningioma KW - Thoracic spine SP - 176 EP - 180 JF - World neurosurgery JO - World Neurosurg VL - 129 N2 - BACKGROUND: Quite a few cases of intramedullary meningioma have been described in previously reported studies. We have presented a rare case of intramedullary thoracic meningioma, which was quite different from subdural extramedullary meningioma, and the preliminary diagnosis was mistakenly given as hemangioblastoma. CASE DESCRIPTION: A 46-year-old man with complaints of gait problems and pain in the right lower extremity was admitted to our hospital. The neurological examination revealed 3 of 5 motor strength, spastic paraparesis, hyperreflexia, increased tone, and sensory deficits in the right lower extremity. Contrast-enhanced images showed a T6-T7 intramedullary lesion and an evident and homogeneously enhanced lesion with clearly defined borders on the sagittal, coronal, and axial views. The preliminary diagnosis was hemangioblastoma. However, he underwent tumor resection, and the histopathological examination findings confirmed the diagnosis of intramedullary meningioma. CONCLUSION: Intramedullary thoracic meningiomas are extremely rare and differ from the common subdural extramedullary meningiomas. Clinicians should be aware of this when diagnosing intramedullary tumors. Gross total resection using a microsurgical technique will be the best treatment strategy. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/31146040/Intramedullary_Thoracic_Meningioma:_A_Rare_Case_Report_and_Review_of_the_Literature_ DB - PRIME DP - Unbound Medicine ER -