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Review
. 2008;31(3):302-5.
doi: 10.1080/10790268.2008.11760727.

Cervical extradural meningioma: case report and literature review

Brian L Frank  1 , James S Harrop, Amgad Hanna, John Ratliff
Affiliations
Review

Cervical extradural meningioma: case report and literature review

Brian L Frank et al. J Spinal Cord Med. 2008.

Abstract

Background: Extradural lesions are most commonly metastatic neoplasms. Extradural meningioma accounts for 2.7 to 10% of spinal neoplasms and most commonly is found in the thoracic spine.

Design: Case report.

Findings: A 45-year-old woman presented with posterior cervicothoracic pain for 8 months following a motor vehicle crash. Magnetic resonance imaging of the cervical spine revealed an enhancing epidural mass. Computerized tomography of the chest, abdomen, and pelvis revealed no systemic disease. Due to the lesion's unusual signal characteristics and location, an open surgical biopsy was completed, which revealed a psammomatous meningioma. Surgical decompression of the spinal cord and nerve roots was then performed. The resection was subtotal due to the extension of the tumor around the vertebral artery.

Conclusion: Meningiomas should be considered in the differential diagnosis of contrast-enhancing lesions in the cervical spine.

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Figures

Figure 1
Figure 1. Sagittal T2 magnetic resonance image showing an enhancing epidural mass from C5 to C7.
Figure 2
Figure 2. Axial T2 magnetic resonance image showing an enhancing epidural mass with spinal cord displacement and compression.
Figure 3
Figure 3. Intraoperative photograph of the C5-C7 laminectomy and C5-T1 instrumentation.
Figure 4
Figure 4. Postoperative sagittal T2 magnetic resonance image showing subtotal resection of epidural mass.
Figure 5
Figure 5. Postoperative axial T2 magnetic resonance image showing subtotal resection of epidural mass.
See this image and copyright information in PMC

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