Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature.
10.3340/jkns.2014.56.1.58
- Author:
Ji Hye LEE
1
;
Hong Joo MOON
;
Joo Han KIM
;
Youn Kwan PARK
Author Information
1. Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. kiwi765@hanmail.net
- Publication Type:Case Report
- Keywords:
Spinal tumor;
Fibrous meningioma;
Non-dural based
- MeSH:
Diagnosis;
Female;
Follow-Up Studies;
Gadolinium;
Gait;
Humans;
Hypesthesia;
Leg;
Magnetic Resonance Imaging;
Membranes;
Meningioma*;
Middle Aged;
Neurilemmoma;
Recurrence
- From:Journal of Korean Neurosurgical Society
2014;56(1):58-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a 1.7x1.4-cm mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.
