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Cerebral and two spinal meningiomas removed from the same patient: case report
E Kandel1, E Sungurov, V Morgunov
1Neurosurgical Clinic, Institute of Neurology, Moscow, USSR.
Neurosurgery
|September 1, 1989
Summary
A rare case of multiple meningiomas (intracranial and spinal) in a teenager was successfully treated. This case highlights the importance of considering multicentric meningiomas in young patients.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Meningiomas are typically benign tumors arising from the meninges.
- Multicentric meningiomas, occurring at multiple sites, are rare, particularly in pediatric and adolescent populations.
- This report details an unusual presentation of simultaneous intracranial and spinal meningiomas.
Observation:
- A 17-year-old female presented with an intracranial meningioma and subsequently developed paraplegia.
- Surgical removal of the initial intracranial tumor was performed.
- Rapidly progressing paraplegia led to the discovery and removal of two thoracic spinal meningiomas, one ossified.
Findings:
- The patient had a total of three meningiomas: one intracranial and two spinal.
- Surgical intervention for both intracranial and spinal tumors resulted in a positive outcome.
- The spinal tumors were located in the midthoracic region, approximately 2 cm apart.
Implications:
- This case underscores the potential for multicentricity in meningioma development, even in young individuals.
- Early diagnosis and comprehensive surgical management are crucial for favorable outcomes in complex meningioma cases.
- Further research into the genetic and environmental factors contributing to multicentric meningiomas may be warranted.