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Cervical spinal meningioma with unusual MR contrast enhancement
T Yoshiura1, D A Shrier, W H Pilcher
1Department of Radiology, University of Rochester, NY 14642, USA.
Abstract:
A 16-year-old girl had progressive neck pain and weakness in the left hand. MR images showed a dumbbell-shaped spinal tumor with a prominently enhancing intradural component and a minimally enhancing extradural component. Pathologic examination revealed a meningioma with an intradural transitional component and an extradural syncytial component. The tumor showed no significant cystic change or necrosis.
Insights
A rare dumbbell-shaped spinal tumor was found in a teenage girl presenting with neck pain and hand weakness. Pathologic examination confirmed it as a meningioma with both intradural and extradural components.
Area of Science:
- Neuro-oncology
- Spinal cord imaging
- Neurosurgery
Background:
- Spinal tumors can present with varied neurological deficits.
- Dumbbell-shaped tumors pose diagnostic and surgical challenges due to their dual intradural and extradural nature.
Observation:
- A 16-year-old female experienced progressive neck pain and left hand weakness.
- Magnetic Resonance (MR) imaging revealed a dumbbell-shaped spinal tumor.
- The tumor exhibited a prominent intradural enhancing component and a minimal extradural enhancing component.
Findings:
- Pathologic examination confirmed the spinal tumor as a meningioma.
- The meningioma demonstrated an intradural transitional component and an extradural syncytial component.
- No significant cystic degeneration or necrosis was observed within the tumor.
Implications:
- This case highlights the importance of comprehensive imaging in diagnosing spinal tumors.
- Accurate histopathological classification of meningiomas is crucial for treatment planning.
- Understanding the intradural and extradural components is vital for surgical management of dumbbell tumors.