Extradural cervical spinal meningioma without myelopathy.

Surgical neurology international Pub Date : 2025-06-06 eCollection Date: 2025-01-01 DOI:10.25259/SNI_373_2025

Mohamad El Houshiemy, Ibrahim Murad, Wael Ali Shouman, Rayyan Sakr, Sarah Kawtharani, Marwan Najjar

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Abstract

Background: Only 2.5-3.5% of all spinal meningiomas are extradural.

Case description: A 45-year-old female presented with chronic neck pain and bilateral arm numbness but was otherwise neurologically normal. The cervical magnetic resonance (MR) imaging revealed a right-sided extradural extramedullary lesion extending from C5 to C7. Through a C4-C7 laminectomy, the patient underwent subtotal tumor excision; the intracanalicular portion of the tumor was excised, leaving behind some extraforaminal components. The histopathology was consistent with a typical meningioma (i.e., containing meningothelial cells and psammomatous calcifications).

Conclusion: Extradural cervical spinal meningiomas are rare. Following MR studies, patients may undergo routine dorsal resection of the intracanalicular components of the meningioma, leaving behind extraforaminal extension if warranted. Early recognition and treatment lead to the most favorable outcomes.

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无脊髓病的硬膜外颈脊膜瘤。

背景：只有2.5-3.5%的脊髓脑膜瘤位于硬膜外。病例描述：一名45岁女性，表现为慢性颈部疼痛和双侧手臂麻木，但其他神经功能正常。颈核磁共振显示右侧硬膜外髓外病变，从C5延伸至C7。通过C4-C7椎板切除术，患者接受肿瘤次全切除；肿瘤的管内部分被切除，留下一些椎间孔外成分。组织病理学符合典型的脑膜瘤（即含有脑膜上皮细胞和沙质钙化）。结论：硬膜外颈脊膜瘤是罕见的。mri检查后，患者可接受常规脑膜瘤管内部分的背侧切除，如有必要，可保留椎间孔外延伸。早期识别和治疗会导致最有利的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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