Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num 3
Spinal Extradural Meningioma Located at the Thoracocervical Junction: A Case Report
Davut CEYLAN1, Can YALDIZ1, Mehmet TOKMAK2, Erdinç ÖZEK3, Ahmet Celal İPLİKÇİOĞLU4
1Sakarya Üniversitesi, Tıp Fakültesi, Nöroşirürji Kliniği, Sakarya, Türkiye
2İstanbul Medipol Üniversitesi, Tıp Fakültesi, Nöroşirürji Kliniği, İstanbul, Türkiye
3Çorum Devlet Hastanesi, Nöroşirürji Kliniği, Çorum, Türkiye
4Harran Üniversitesi, Tıp Fakültesi, Nöroşirürji Kliniği, Şanlıurfa, Türkiye
Spinal meningioma (SM) accounts for 25% of all spinal tumors. The majority of SMs are intradural and less than 10% have an extradural extension. This case report reveals a 40-year-old female patient complaining of numbness in the arms and legs. Her neurological examination showed hypoesthesia and spastic quadriparesis below the Th1 level. Spinal magnetic resonance screening showed an extradural mass at the C7-Th1 level with homogeneous iso- to hypo-intense dense contrast enhancement on T1- and T2-weighted sequences. C6-Th2 laminoplasty was performed, and the extradural mass was totally removed by microsurgery. The pathology was reported as meningotheliomatous meningioma. Although extradural spinal meningiomas are rare, they should be considered in the differential diagnosis as they mimic spinal metastatic masses. Surgery should be the first choice of treatment. Anahtar Kelimeler : Extradural tumor, Spinal tumor, Meningioma