A rare case of intramedullary cervical spinal cord meningioma and review of the literature

Abstract

Report: A 21-year-old man presented with progressive paraesthesia and weakness in the four limbs, with disturbances in the vibration and positional senses. Magnetic resonance imaging revealed a cervical intramedullary tumour from the cervicomedullary junction to C3. Radical resection of the tumour was performed and histology revealed a meningioma. His clinical outcome after a 3-year follow-up is relatively good. Conclusion: Intramedullary cervical meningiomas are very rare and have been reported only five times before. Because of its tendency to recur after surgery and because of a possible aggressive behaviour, meticulous histopathological examination is mandatory to predict the evolution and plan the follow-up. Outcome is mainly related to the type of tumour and the complete removal.

Imaging diagnosis and the role of endovascular embolization treatment for vascular intraspinal tumors

“…A syrinx can occur in rare cases of intramedullary meningiomas. 81 The angiographic characteristics of spinal meningiomas are similar to those of intracranial meningiomas, with an important feature being the long duration of the tumor stain persisting into the venous phase. 88 Pseudo-continuous arterial spin labeling (PCASL) represents a novel imaging technique reported useful in reliably assessing meningioma vascularity and tumor blood flow.…”

Paraplegia due to Missed Thoracic Meningioma after Laminotomy for Lumbar Spinal Stenosis: Report of Two Cases

“…Most intradural spinal tumors are benign and potentially resectable, so the prognosis after surgical resection is excellent [9,10]. …”

Meningioma intramedular cervical: relato de caso e revisão da literatura

“…Observa-se uma clara tendência desses tumores de localizarem-se na região cervical, principalmente nos seguimentos mais altos, muitas vezes, inclusive, iniciando-se na região bulbo--medular. 2,5,[7][8][9][10] Os demais meningiomas espinhais, ao contrário, acometem, preferencialmente, a região torácica. 3,4 Encontramos apenas um relato de meningioma intramedular torácio.…”

“…Até o momento, encontramos cerca de oito trabalhos sobre meningiomas intramedulares cervicais descritos na literatura, todos estrangeiros. 1,2,[5][6][7][8][9][10] O presente estudo visa, portanto, relatar mais um caso na literatura mundial -talvez o primeiro relato de caso brasileiro -e revisar os demais estudos sobre o assunto publicados até o momento.…”