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Extradural spinal meningioma: Revisiting a rare entity
Guruprasad Bettaswamy1, Paurush Ambesh1, Kuntal Kanti Das1
1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Abstract:
Spinal meningiomas are mostly intradural in location although at times these are associated with some extradural extensions. Purely extradural spinal meningiomas (EDSMs) are however, extremely rare and when present, may cause diagnostic dilemma preoperatively. Only seven cases of pure EDSM have been reported till date. In this paper, we describe two cases of EDSM affecting the cervical spine and present their clinical profiles, radiological findings, operative management, and follow-up data, along with a review of the literature.
Insights
Purely extradural spinal meningiomas (EDSMs) are rare spinal tumors. This study presents two new EDSM cases, highlighting diagnostic and management challenges for this uncommon condition.
Area of Science:
- Neurosurgery
- Oncology
- Spinal Surgery
Background:
- Spinal meningiomas are typically intradural tumors.
- Purely extradural spinal meningiomas (EDSMs) are exceptionally rare, posing diagnostic challenges.
Observation:
- This paper details two cases of EDSM in the cervical spine.
- The cases illustrate the clinical presentation and radiological features of EDSM.
Findings:
- The study describes the operative management and follow-up of these two EDSM cases.
- A literature review on EDSM is included, comparing findings with the presented cases.
Implications:
- Increased awareness of EDSM is crucial for accurate preoperative diagnosis.
- Understanding EDSM presentation aids in surgical planning and patient management.
