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Nondural-based lumbar clear cell meningioma. Case report
1Division of Neurosurgery, Lenox Hill Hospital, New York, New York, USA.
Journal of Neurosurgery
|February 1, 1996
Summary
A rare clear cell meningioma caused leg pain and sciatica in a 32-year-old man. Surgical removal of the intradural spinal tumor was successful, preserving nerve function.
Area of Science:
- Neurosurgery
- Neuropathology
Background:
- Spinal meningiomas are rare tumors arising from the meninges of the spinal cord.
- Clear cell meningioma is a rare subtype, typically found in the cranial cavity.
Observation:
- A 32-year-old male presented with chronic right leg pain, sciatica, and leg buckling.
- MRI revealed an intradural spinal lesion at the L3-L4 level.
- The lesion was attached to a single nerve root within the cauda equina.
Findings:
- Surgical laminectomy and tumor resection were performed.
- Complete tumor removal was achieved with preservation of neural elements.
- Histopathology confirmed the diagnosis of clear cell meningioma.
Implications:
- This case highlights the possibility of clear cell meningiomas occurring within the spinal canal.
- Successful surgical management can lead to favorable outcomes.
- Early diagnosis and surgical intervention are crucial for preserving neurological function.