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Updated: Mar 19, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

991

Sudden post-traumatic sciatica caused by a thoracic spinal meningioma.

Giuseppe Mariniello1, Francesca Malacario2, Flavia Dones1

  • 1Department of Neurosciences and Reproductive and Odontostomatologic Sciences, Neurosurgical Clinic, 'Federico II' University, Naples, Italy.

The Neuroradiology Journal
|June 19, 2016
PubMed
Summary

Sudden onset of sciatica and leg weakness can rarely be caused by spinal meningiomas. This case highlights that trauma can trigger acute symptoms in patients with spinal cord compression.

Keywords:
Spinal meningiomacord stretchingsciaticaspine trauma

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Area of Science:

  • Neurosurgery
  • Neurology
  • Oncology

Background:

  • Spinal meningiomas are typically slow-growing tumors originating from the meninges surrounding the spinal cord.
  • Clinical presentation usually involves progressive neurological deficits due to cord and root compression.
  • Sudden onset of symptoms is uncommon, often associated with tumor bleeding or acute injury.

Observation:

  • A 35-year-old woman experienced sudden right sciatica and leg weakness after a fall.
  • Neurological examination revealed motor deficits, hyperreflexia, and a positive Babinski sign.
  • MRI identified a left posterolateral T11 spinal meningioma compressing and displacing the spinal cord.

Findings:

  • Surgical removal of the meningioma led to rapid resolution of pain and neurological deficits.
  • The case suggests trauma exacerbated pre-existing cord compression, leading to acute symptom presentation.
  • Tumor bleeding or mechanical injury to compressed neural structures are potential mechanisms for sudden onset.

Implications:

  • Spinal meningiomas should be considered in the differential diagnosis of acute radicular leg pain, even with a history of trauma.
  • This case underscores the importance of considering spinal pathology in patients presenting with unexplained neurological deficits post-trauma.
  • Low thoracic spinal cord compression may present atypically with post-traumatic leg pain, warranting thorough investigation.