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Case Reports
. 2016 Mar 15;4(1):128-30.
doi: 10.3889/oamjms.2016.005. Epub 2015 Dec 21.

Spontaneous Regression of an Incidental Spinal Meningioma

Ali Yilmaz  1 , Zahir Kizilay  1 , Ahmet Sair  2 , Mucahit Avcil  3 , Ayca Ozkul  2
Affiliations
Case Reports

Spontaneous Regression of an Incidental Spinal Meningioma

Ali Yilmaz et al. Open Access Maced J Med Sci. .

Abstract

Aim: The regression of meningioma has been reported in literature before. In spite of the fact that the regression may be involved by hemorrhage, calcification or some drugs withdrawal, it is rarely observed spontaneously.

Case report: We report a 17 year old man with a cervical meningioma which was incidentally detected. In his cervical MRI an extradural, cranio-caudal contrast enchanced lesion at C2-C3 levels of the cervical spinal cord was detected. Despite the slight compression towards the spinal cord, he had no symptoms and refused any kind of surgical approach. The meningioma was followed by control MRI and it spontaneously regressed within six months. There were no signs of hemorrhage or calcification.

Conclusion: Although it is a rare condition, the clinicians should consider that meningiomas especially incidentally diagnosed may be regressed spontaneously.

Keywords: meningioma; spinal cord; tumour regression.

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Figures

Figure 1
Figure 1
The cervical MRI findings sagittal T2 weighted (A), T1 weighted sagittal (B) and axial (C) images with contrast enhancement showing extradural, cranio-caudal lesion concominant with meningioma at C2-C3 levels of the cervical spinal cord.
Figure 2
Figure 2
The control cervical MRI showing regression of meningioma in T2 weighted (A), T1 weighted sagittal (B) and axial (C) images.
Figure 3
Figure 3
After six months cervical MRI showed complete regression of meningioma in T2 weighted (A), T1 weighted sagittal (B) and axial (C) images with lineer contrast enchancement without any solid lesion.
See this image and copyright information in PMC

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