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Updated: Jun 11, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Cervical spinal extradural meningioma: Case report
M Benzagmout1, F Azzal, A Bitar
1Department of neurosurgery, university hospital of Fez, BP 8589, Atlas 30003 Fez, Morocco. benzagmout@hotmail.fr
Abstract:
Extradural meningiomas account for approximately 7% of all spinal meningiomas and are most commonly located in the thoracic spine. Although rare, they should be included in the differential diagnosis of an extradural contrast-enhancing mass. Prognosis depends greatly on the extent of surgical resection. If considered safe, complete resection should be attempted to decrease the risk of recurrence. We report a case of spinal epidural meningioma diagnosed in an elderly woman complaining of right cervicobrachial pain of several years duration, associated with diffuse paresthesia and permanent numbness of her right index finger. The surgical removal of the tumor was incomplete because of the deep lateral extension of the lesion.
Insights
Extradural meningiomas are rare spinal tumors, often found in the thoracic region. Complete surgical removal is crucial for a better prognosis and reduced recurrence risk.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Extradural meningiomas represent approximately 7% of all spinal meningiomas, predominantly occurring in the thoracic spine.
- These tumors, though rare, are significant in the differential diagnosis of extradural contrast-enhancing masses.
Observation:
- A case study involving an elderly woman with a long-standing history of right cervicobrachial pain, paresthesia, and persistent numbness in her right index finger.
Findings:
- The patient was diagnosed with a spinal epidural meningioma.
- Surgical resection was incomplete due to the tumor's deep lateral extension.
Implications:
- Prognosis is strongly linked to the extent of surgical resection; complete removal is recommended when feasible to minimize recurrence.
- Highlights the importance of considering extradural meningiomas in the differential diagnosis of spinal masses, even with atypical presentations.
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