Lumbar spine epidural meningioma: report of a rare case.

IF 0.7 Q4 CLINICAL NEUROLOGY
Ghassen Gader, Mourad Masmoudi, Khalil Ghedira, Mohamed Ilyes Krifa, Ines Chelly, Ihsèn Zammel, Mohamed Badri
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引用次数: 0

Abstract

Introduction and importance: Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare. Here we present a 64 year-old-male with a purely extradural meningioma, and reviewed 15 previously reported cases from the literature.

Case presentation and clinical discussion: A 64-year-old male presented with a progressive cauda equine syndrome. When Lumbar spine MRI showed two extradural lesions regarding the L3-L4 level, one was fully removed (i.e., the posterolateral lesion), while the other anterior lesion was left alone (i.e., to avoid potential neurologic sequelae). Pathologically, the lesion was a benign meningioma.

Conclusions: Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.

Abstract Image

腰椎硬膜外脑膜瘤:一例罕见病例报告。
引言和重要性:脊膜脑膜瘤是典型的硬膜内病变。有些可能浸润硬脑膜,从而表现出硬膜外直接扩张。单纯脊膜外脊膜脑膜瘤非常罕见。本文报告一位64岁男性单纯硬膜外脑膜瘤,并回顾了文献中15例先前报道的病例。病例介绍和临床讨论:一名64岁男性,表现为进行性马尾综合征。当腰椎MRI显示两个L3-L4级别的硬膜外病变时,一个被完全切除(即后外侧病变),而另一个前部病变被单独留下(即避免潜在的神经后遗症)。病理学上,病变为良性脑膜瘤。结论:脊膜外脊膜脑膜瘤是罕见的,最好在指数手术时完全切除。
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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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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