J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e136-e139
DOI: 10.1055/s-0032-1330959
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Intramedullary Thoracic Spinal Cord Meningioma: A Rare Case Report and Review of the Literature

Dun Yuan
1   Department of Neurosurgery, Xiangya Hospital, Central South University; The Institute of Skull Base and Neurooncology at Hunan, Changsha, China
,
Dingyang Liu
1   Department of Neurosurgery, Xiangya Hospital, Central South University; The Institute of Skull Base and Neurooncology at Hunan, Changsha, China
,
Xian-rui Yuan
1   Department of Neurosurgery, Xiangya Hospital, Central South University; The Institute of Skull Base and Neurooncology at Hunan, Changsha, China
,
Jian Xi
,
Xi-ping Ding
1   Department of Neurosurgery, Xiangya Hospital, Central South University; The Institute of Skull Base and Neurooncology at Hunan, Changsha, China
› Author Affiliations
Further Information

Publication History

02 February 2012

11 August 2012

Publication Date:
26 February 2013 (online)

Abstract

A 33-year-old male presented with a thoracic spinal intramedullary meningioma manifesting as bilateral asymmetric progressive weakness in the lower extremities. Preoperative magnetic resonance imaging (MRI) showed an intramedullary mass at the T1–T3 level. Intraoperative inspection found that the spinal cord was markedly swollen with a normal surface while dural attachment was not confirmed. Gross total removal of the tumor was achieved. The morphologic and immunohistochemical findings were compatible with the diagnosis of meningioma. Postoperatively, the patient recovered from preoperative paraplegia. Although extremely rare, meningiomas should be considered when diagnosing intramedullary tumors.

 
  • References

  • 1 Prayson RA. Pathology of meningioma. In: Lee JH, , ed. Meningiomas: Diagnosis, Treatment, and Outcome. Cleveland, OH: Springer; 2007: 31-43
  • 2 Rajaram V, Brat DJ, Perry A. Anaplastic meningioma versus meningeal hemangiopericytoma: immunohistochemical and genetic markers. Hum Pathol 2004; 35: 1413-1418
  • 3 Sakaki S, Ohsugi T, Chaki T, Shiraishi M, Matsuoka K, Go S. Total removal of an intramedullary meningioma of the medulla oblongata—case report. Neurol Med Chir (Tokyo) 1987; 27: 658-662
  • 4 Park SH, Hwang SK, Park YM. Intramedullary clear cell meningioma. Acta Neurochir (Wien) 2006; 148: 463-466
  • 5 Sahni D, Harrop JS, Kalfas IH, Vaccaro AR, Weingarten D. Exophytic intramedullary meningioma of the cervical spinal cord. J Clin Neurosci 2008; 15: 1176-1179
  • 6 Covert S, Gandhi D, Goyal M , et al. Magnetic resonance imaging of intramedullary meningioma of the spinal cord: case report and review of the literature. Can Assoc Radiol J 2003; 54: 177-180
  • 7 Salvati M, Artico M, Lunardi P, Gagliardi FM. Intramedullary meningioma: case report and review of the literature. Surg Neurol 1992; 37: 42-45
  • 8 Salehpour F, Zeinali A, Vahedi P, Halimi M. A rare case of intramedullary cervical spinal cord meningioma and review of the literature. Spinal Cord 2008; 46: 648-650
  • 9 Moriuchi S, Nakagawa H, Yamada M, Kadota T. Intramedullary spinal cord meningioma—a case report. Neurol Med Chir (Tokyo) 1996; 36: 888-892
  • 10 Jallo GI, Kothbauer KF, Silvera VM, Epstein FJ. Intraspinal clear cell meningioma: diagnosis and management: report of two cases. Neurosurgery 2001; 48: 218-221 , discussion 221–222