Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report
BackgroundMeningiomas are mostly benign and slow-growing neoplasms of the central nervous system. Spinal meningiomas account for up to 45% of all intradural spinal tumors in adults and up to 25%–45% of all spinal tumors. Spinal extradural meningiomas are rare and may be easily confused with malignan...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1077355/full |
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| author | Faisal Almatrafi Majed Alomair Abdulrazaq Alojan Mohammed Alkhaldi Noor Alsafwani Abdullah Aseeri Abdulelah Alshahrani Sultan Alsalmi Mohammad Alqahtani |
| author_facet | Faisal Almatrafi Majed Alomair Abdulrazaq Alojan Mohammed Alkhaldi Noor Alsafwani Abdullah Aseeri Abdulelah Alshahrani Sultan Alsalmi Mohammad Alqahtani |
| author_sort | Faisal Almatrafi |
| collection | DOAJ |
| description | BackgroundMeningiomas are mostly benign and slow-growing neoplasms of the central nervous system. Spinal meningiomas account for up to 45% of all intradural spinal tumors in adults and up to 25%–45% of all spinal tumors. Spinal extradural meningiomas are rare and may be easily confused with malignant neoplasms.Case descriptionA 24-year-old woman was presented to our hospital with paraplegia and loss of sensation in the T7 dermatome and lower body. MRI findings showed T6-T7 right-sided intradural extramedullary and extradural lesion, measuring 1.4 cm × 1.5 cm × 3 cm, extending to the right foramen, compressing the spinal cord, and displacing it to the left. Hyperintense lesion on T2 and hypointense lesion on T1 were observed. The patient reported improvement after surgery and during follow-up. We recommend maximizing the decompression during surgery to achieve better clinical outcome. Extradural meningiomas represent 5% of all meningiomas; therefore, having an intradural on top of extradural meningioma with extraforaminal extensions makes this a unique and rare case.ConclusionMeningiomas can be easily missed in diagnosis depending on imaging and the pathognomonic pattern it represents, which can mimic other pathologies, such as schwannomas. Therefore, surgeons should always suspect their patient having a meningioma even if the pattern is not typical. Moreover, preoperative preparation, such as navigation and defect closure, must be taken in case it turns out be a meningioma instead of the presumed pathology. |
| first_indexed | 2024-04-09T17:40:21Z |
| format | Article |
| id | doaj.art-21632f3e298c4346beba690987c3659c |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-09T17:40:21Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-21632f3e298c4346beba690987c3659c2023-04-17T05:40:20ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-04-011010.3389/fsurg.2023.10773551077355Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case reportFaisal Almatrafi0Majed Alomair1Abdulrazaq Alojan2Mohammed Alkhaldi3Noor Alsafwani4Abdullah Aseeri5Abdulelah Alshahrani6Sultan Alsalmi7Mohammad Alqahtani8Department of Neurosurgery, Imam Abdulrahman Bin Faisal University Hospital, Dammam, Saudi ArabiaKing Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi ArabiaDepartment of Neurosurgery, Imam Abdulrahman Bin Faisal University Hospital, Dammam, Saudi ArabiaCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaKing Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi ArabiaKing Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi ArabiaDepartment of Neurosurgery, Imam Abdulrahman Bin Faisal University Hospital, Dammam, Saudi ArabiaCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaBackgroundMeningiomas are mostly benign and slow-growing neoplasms of the central nervous system. Spinal meningiomas account for up to 45% of all intradural spinal tumors in adults and up to 25%–45% of all spinal tumors. Spinal extradural meningiomas are rare and may be easily confused with malignant neoplasms.Case descriptionA 24-year-old woman was presented to our hospital with paraplegia and loss of sensation in the T7 dermatome and lower body. MRI findings showed T6-T7 right-sided intradural extramedullary and extradural lesion, measuring 1.4 cm × 1.5 cm × 3 cm, extending to the right foramen, compressing the spinal cord, and displacing it to the left. Hyperintense lesion on T2 and hypointense lesion on T1 were observed. The patient reported improvement after surgery and during follow-up. We recommend maximizing the decompression during surgery to achieve better clinical outcome. Extradural meningiomas represent 5% of all meningiomas; therefore, having an intradural on top of extradural meningioma with extraforaminal extensions makes this a unique and rare case.ConclusionMeningiomas can be easily missed in diagnosis depending on imaging and the pathognomonic pattern it represents, which can mimic other pathologies, such as schwannomas. Therefore, surgeons should always suspect their patient having a meningioma even if the pattern is not typical. Moreover, preoperative preparation, such as navigation and defect closure, must be taken in case it turns out be a meningioma instead of the presumed pathology.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1077355/fullmeningiomaextraduralspinalcase reportintraduralextramedullary |
| spellingShingle | Faisal Almatrafi Majed Alomair Abdulrazaq Alojan Mohammed Alkhaldi Noor Alsafwani Abdullah Aseeri Abdulelah Alshahrani Sultan Alsalmi Mohammad Alqahtani Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report Frontiers in Surgery meningioma extradural spinal case report intradural extramedullary |
| title | Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report |
| title_full | Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report |
| title_fullStr | Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report |
| title_full_unstemmed | Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report |
| title_short | Intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension: A case report |
| title_sort | intradural extramedullary spinal cord meningioma with a rare extradural foraminal extension a case report |
| topic | meningioma extradural spinal case report intradural extramedullary |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1077355/full |
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