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Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

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The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
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These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Multisegmental diffuse intradural extramedullary ependymoma. An extremely rare case.

Gianluigi Guarnieri1, Mario Tecame2, Roberto Izzo3

  • 1Neuroradiology Service, Cardarelli Hospital; Naples, Italy - gianluigiguarnieri@hotmail.it.

The Neuroradiology Journal
|April 23, 2014
PubMed
Summary

This study reports a rare case of multi-segmental, diffuse intradural extramedullary ependymoma in a 53-year-old man. Surgical intervention led to improved neurological function, highlighting a potential treatment pathway for this uncommon spinal tumor.

Keywords:
ependymomaintradural extramedullary lesionintramedullary tumor

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Area of Science:

  • Neuro-oncology
  • Spinal cord pathology

Background:

  • Ependymomas are typically intramedullary tumors arising from ependymal cells.
  • They predominantly affect women in their fifth decade, with pain as the most common symptom.
  • Intradural extramedullary ependymomas are rare, usually presenting as solitary lesions.

Observation:

  • A 53-year-old male presented with progressive hypoesthesia in the lower legs.
  • Neurological examination revealed regular motility despite sensory deficits.
  • Imaging revealed a multi-segmental, diffuse intradural extramedullary ependymoma.

Findings:

  • The patient underwent surgical resection of the ependymoma.
  • Post-operative assessment showed improvement in neurological symptoms.
  • This case expands the known clinical presentations of ependymoma.

Implications:

  • This case highlights the possibility of diffuse, multi-segmental intradural extramedullary ependymoma.
  • Surgical management can lead to favorable neurological outcomes in such rare presentations.
  • Further research into the pathogenesis and optimal treatment of extramedullary ependymomas is warranted.