The Teaching Point

Spinal meningiomas are typically intradural extramedullary lesions, but may rarely be purely extradural. Extradural meningiomas tend to show more aggressive features and may easily be confused with malignant neoplasms which are much more common in this location. The optimal treatment for meningiomas is total resection with wide margins. When radical resection of tumor poses a risk however, subtotal resection can be a wise option. In such cases, follow up imaging is mandatory to detect tumor recurrence.






Bookmark and Share

From the manuscript

Extradural cervical spinal meningioma mimicking malignancy

Free full text article: Extradural cervical spinal meningioma  mimicking malignancy

Abstract
The vast majority of intraspinal meningiomas occur in an intradural extramedullary location. A meningioma in a purely extradural location in the cervical spine as reported here is quite exceptional. Extradural meningiomas tend to show more aggressive features than intradural meningiomas and are often confused with malignant neoplasms. We report an invasive extradural meningioma in the cervical spine with multi-segmental involvement, extension through the neural foramina and encasement of the subjacent vertebral artery, mimicking malignancies such as lymphoma and sarcoma. Although rare, meningiomas may demonstrate extradural multi-segmental growth and should be considered in the differential diagnosis of such lesions.






References



1. Dagain A, Dulou R. Extradural spinal meningioma: case report. Neurochirurgie 2009;55(6):565-568
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Milz H, Hamer J. Extradural spinal meningiomas: Report of two cases. Neurochirurgia 1983;26(4):126-129
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Tuli J, Drzymalski DM, Lidov H, Tuli S. Extradural en-plaque spinal meningioma with intraneural invasion. World Neurosurgery 2012;77(1):202-213
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Zevgaridis D, Thomé C. Purely epidural spinal meningioma mimicking metastatic tumor: case report and review of the literature. Spine 2002; 27(18):E403-E405
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Kumar S, Kaza R, Maitra TK, Chandra M. Extradural spinal meningioma arising from a nerve root: case report. J Neurosurg 1980;52:728-729
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Sato N, Sze G. Extradural spinal meningioma: MRI. Neuroradiology 1997;39:450-452
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Gambardella G, Toscano S. Epidural spinal meningioma: role of magnetic resonance in differential diagnosis. Acta Neurochir (Wien) 1990;107:70-73
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Kaya U, Özden B, Turantan MI, Aydin Y, Barlas O. Spinal epidural meningioma in childhood: a case report. Neurosurgery 1982;10:746-747
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Frank BL, Harrop JS, Hanna A, Ratliff J. Cervical extradural meningioma: case report and literature review. J Spinal Cord Med, 2008;31:302-305
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Gezen F, Kahraman S, Canakci Z, Beduk A. Review of 36 cases of spinal cord meningioma. Spine, 2000;25(6):727-731
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Ben Nsir A, Boughamoura M, Mahmoudi H, Kilani M, Hattab N. Uncommon progression of an extradural spinal meningioma. Case reports in surgery, 2014, Article ID 630876, 4 pages
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Levy WJ, Bay J, Dohn D. Spinal cord meningioma. J Neurosurg 1982;57:804-812
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Calogero JA, Moossy J. Extradural spinal meningioma: Report of four cases. J Neurosurg 1972;37:44-447
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Messori A, Rychlicki F, Salvolini U. Spinal epidural en-plaque meningioma with an unusual pattern of calcification in a 14-year-old girl: case report and review of the literature. Neuroradiology 2002; 44:256-260
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Silva JR Jr, Hayashi D, Yonenaga T. MRI of bone marrow abnormalities in hematological malignancies. Diagn Interv Radiol 2013;19:393-9
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Li MH, Holtĺs S, Larsson EM. MR imaging of spinal lymphoma. Acta Radiol 1992;33:338-42
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Cugati G, Singh M, Pande A. Primary spinal epidural lymphomas. J Craniovertebr Junction Spine 2011;2:3-11
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Shah LM, Salzman KL. Imaging of Spinal Metastatic Disease. Int J Surg Oncol 2011;2011:769753
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Murphey MD, Walker EA, Wilson AJ, Kransdorf MJ, Temple HT, Gannon FH. Imaging of primary chondrosarcoma: radiologic-pathologic correlation. RadioGraphics 2003;23(5):1245-1278
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Murphey MD, Andrews CL, Flemming DJ, Temple HT, Smith WS, Smirniotopoulos JG. Primary tumors of the spine: radiologic-pathologic correlation. RadioGraphics 1996;16(5):1131-1158
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


22. Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: A meta-analysis of 915 patients. Neurosurg Rev 2000;23(4):175-204
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


23. Cross JJ, Antoun NM, Laing RJ, Xuereb J. Imaging of compressive vertebral haemangiomas. Eur Radiol 2000;10(6):997-1002
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


24. Quint DJ, Boulos RS, Sanders WP, Mehta BA, Patel SC, Tiel RL. Epidural lipomatosis. Radiology 1988;169:485-90
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


25. Marciscano AE, Stemmer-Rachamimov AO, Niemierko A. Benign meningiomas (WHO grade I) with atypical histological features: correlation of histopathological features with clinical outcomes. J Neurosurg 2016;124:106-114
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


26. Klekamp J, Samii M. Surgical results for spinal meningiomas. Surg Neurol, 1999; 52: 552-562
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


27. Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL: Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 1985;62:18-24.
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Extradural

2. meningioma

3. spine

4. intradural

5. magnetic resonance imaging


This article belongs to the Neuro section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports