A Rare Extradural Spinal Meningioma with Nocturnal Chest Pain: A Case Report
10.4184/jkss.2019.26.3.100
- Author:
Sang Bum KIM
1
;
Yougun WON
;
Min Gu JANG
;
Young Ki MIN
;
Andreas GUTZEIT
;
Fabio CASARI
;
Oliver Nic HAUSMANN
Author Information
1. Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Extradural space;
Thoracic pain;
Iatrogenic dural injury;
Spinal meningioma;
Spine tumors
- MeSH:
Aged;
Chest Pain;
Diagnosis;
Female;
Foot;
Heart;
Humans;
Leg;
Magnetic Resonance Imaging;
Meningioma;
Spine;
Thorax
- From:Journal of Korean Society of Spine Surgery
2019;26(3):100-104
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: Case report. OBJECTIVES: To report a rare case of a spinal extradural meningioma in a patient with longstanding nonspecific thoracic nocturnal pain. SUMMARY OF LITERATURE REVIEW: Meningioma is a frequent intradural extramedullary tumor that is associated with pain, sensory/motor deficits, and sphincter weakness. Spinal meningiomas most commonly occur in the thoracic spine, although they can also be found at other locations. MATERIALS AND METHODS: A 65-year-old woman first visited the cardiac and gastrointestinal departments of our institution due to chest pain 2 years previously. No explanation for the complaint could be found in the heart or other organs. On a computed tomography scan of the thorax, a spinal mass was found a few months before the diagnosis. On magnetic resonance imaging, an extramedullary and extradural mass was observed at T7/8. RESULTS: We performed surgery and found an extradural spinal meningioma upon the histological diagnosis. Postoperatively, the patient could adequately move both legs and feet and the nocturnal chest pain disappeared after surgery without any complications. CONCLUSIONS: Awareness of the rarity and nonspecific symptoms of extradural spinal meningiomas will be beneficial for their accurate diagnosis and proper treatment.
