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Cylindrical spinal meningioma. A case report

C Raftopoulos1, D Balériaux, J Flament-Durand

  • 1Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles, Belgium.

Surgical Neurology
|November 1, 1993
PubMed
Summary

A rare cylindrical spinal meningioma presented diagnostic challenges, mimicking lymphoma or metastatic tumors. Despite surgical removal, residual tumor showed slow growth, highlighting the need for careful monitoring.

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Area of Science:

  • Neurosurgery
  • Spinal Oncology
  • Neuropathology

Background:

  • Spinal meningiomas are rare tumors arising from the meninges.
  • Cylindrical morphology is an unusual presentation for spinal meningiomas.
  • Preoperative diagnosis can be challenging, with differential diagnoses including lymphoma and metastatic tumors.

Observation:

  • A case of cylindrical spinal meningioma is presented.
  • The tumor was hard and adhered to the spinal cord, necessitating leaving part of it in situ.
  • Postoperative transient paraplegia occurred, with recovery within six months.

Findings:

  • Magnetic resonance imaging (MRI) revealed slow progression of the residual tumor (5% increase over 3 years).
  • The unusual morphology impacted preoperative diagnostic accuracy.

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  • Surgical strategy involved partial resection due to adherence.

    • Implications:

    • This case underscores the importance of considering meningioma in the differential diagnosis of spinal epidural tumors with unusual morphology.
    • Long-term MRI surveillance is crucial for managing residual spinal meningiomas.
    • The surgical approach must balance complete resection with minimizing neurological damage.