Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Non-Dura Based Intaspinal Clear Cell Meningioma

  • Ko, Jun-Kyeung (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Choi, Byung-Kwan (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Cho, Won-Ho (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Choi, Chang-Hwa (Department of Neurosurgery, School of Medicine, Pusan National University)
  • Received : 2010.01.18
  • Accepted : 2011.01.13
  • Published : 2011.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

A 34-year-old female patient was presented with leg and hip pain for 6 months as well as voiding difficulty for 1 year. Magnetic resonance imaging revealed a well-demarcated mass lesion at L2-3. The mass was hypo-intense on T1- and T2-weighted images with homogeneous gadolinium enhancement. Surgery was performed with the presumptive diagnosis of intradural extramedullary meningioma. Complete tumor removal was possible due to lack of dural adhesion of the tumor. Histologic diagnosis was clear cell meningioma, a rare and newly included World Health Organization classification of meningioma usually affecting younger patients. During postoperative 2 years, the patient has shown no evidence of recurrence. We report a rare case of cauda equina clear cell meningioma without any dural attachment.

Keywords

References

  1. Carra S, Drigo P, Gardiman M, Perilongo G, Rigobello L : Clear-cell meningioma in a 22-month-old male : a case report and literature review. Pediatr Neurosurg 34 : 264-267, 2001 https://doi.org/10.1159/000056035
  2. Chen MH, Chen SJ, Lin SM, Chen MH : A lumbar clear cell meningioma with foraminal extension in a renal transplant recipient. J Clin Neurosci 11 : 665-667, 2004 https://doi.org/10.1016/j.jocn.2003.10.024
  3. Dhall SS, Tumialan LM, Brat DJ, Barrow DL : Spinal intradural clear cell meningioma following resection of a suprasellar clear cell meningioma. Case report and recommendations for management. J Neurosurg 103 : 559-563, 2005 https://doi.org/10.3171/jns.2005.103.3.0559
  4. Dubois A, Sevely A, Boetto S, Delisle MB, Manelfe C : Clear-cell meningioma of the cauda equina. Neuroradiology 40 : 743-747, 1998 https://doi.org/10.1007/s002340050676
  5. Epstein NE, Drexler S, Schneider J : Clear cell meningioma of the cauda equina in an adult: case report and literature review. J Spinal Disord Tech 18 : 539-543, 2005 https://doi.org/10.1097/01.bsd.0000173314.98401.b5
  6. Heth JA, Kirby P, Menezes AH : Intraspinal familial clear cell meningioma in a mother and child. Case report. J Neurosurg 93 : 317-321, 2000
  7. Holtzman RN, Jormark SC : Nondural-based lumbar clear cell meningioma. Case report. J Neurosurg 84 : 264-266, 1996 https://doi.org/10.3171/jns.1996.84.2.0264
  8. Jain D, Sharma MC, Sarkar C, Suri V, Garg A, Singh M, et al. : Clear cell meningioma, an uncommon variant of meningioma : a clinicopathologic study of nine cases. J Neurooncol 81 : 315-321, 2007 https://doi.org/10.1007/s11060-006-9237-7
  9. Jallo GI, Kothbauer KF, Silvera VM, Epstein FJ : Intraspinal clear cell meningioma : diagnosis and management : report of two cases. Neurosurgery 48 : 218-221; discussion 221-212, 2001
  10. Kleihues P, Burger PC, Scheithauer BW : The new WHO classification of brain tumours. Brain Pathol 3 : 255-268, 1993 https://doi.org/10.1111/j.1750-3639.1993.tb00752.x
  11. Kolluri VR, Reddy DR, Reddy PK, Naidu MR, Rao SB, Sumathi C : Meningiomas in childhood. Childs Nerv Syst 3 : 271-273, 1987 https://doi.org/10.1007/BF00271821
  12. Leibel SA, Wara WM, Sheline GE, Townsend JJ, Boldrey EB : The treatment of meningiomas in childhood. Cancer 37 : 2709-2712, 1976 https://doi.org/10.1002/1097-0142(197606)37:6<2709::AID-CNCR2820370621>3.0.CO;2-X
  13. Liu PI, Liu GC, Tsai KB, Lin CL, Hsu JS : Intraspinal clear-cell meningioma : case report and review of literature. Surg Neurol 63 : 285-288; discussion 288-289, 2005 https://doi.org/10.1016/j.surneu.2004.03.013
  14. Louis DN, Scheithauer BW, Budka H, von Deimling A, Kepes JJ : Meningiomas, in Kleihues P, Cavenee WK (eds) : Pathology and Genetics of Tumors of the Nervous System. Lyon : International Agency for Research on Cancer Press, 2000, pp 176-184
  15. Matsui H, Kanamori M, Abe Y, Sakai T, Wakaki K : Multifocal clear cell meningioma in the spine : a case report. Neurosurg Rev 21 : 171-173, 1998 https://doi.org/10.1007/BF02389326
  16. Maxwell M, Shih SD, Galanopoulos T, Hedley-Whyte ET, Cosgrove GR : Familial meningioma : analysis of expression of neurofibromatosis 2 protein Merlin. Report of two cases. J Neurosurg 88 : 562-569, 1998 https://doi.org/10.3171/jns.1998.88.3.0562
  17. Oviedo A, Pang D, Zovickian J, Smith M : Clear cell meningioma : case report and review of the literature. Pediatr Dev Pathol 8 : 386-390, 2005 https://doi.org/10.1007/s10024-005-0119-3
  18. Park HC, Sohn MJ, Kim EY, Han HS, Park HS : Spinal clear cell meningioma presented with progressive paraparesis in infancy. Childs Nerv Syst 16 : 607-610, 2000 https://doi.org/10.1007/PL00007302
  19. Park SH, Hwang SK, Park YM : Intramedullary clear cell meningioma. Acta Neurochir (Wien) 148 : 463-466, 2006 https://doi.org/10.1007/s00701-005-0695-z
  20. Payano M, Kondo Y, Kashima K, Daa T, Yatsuka T, Kida H, et al. : Two cases of nondura-based clear cell meningioma of the cauda equina. APMIS 112 : 141-147, 2004 https://doi.org/10.1111/j.1600-0463.2004.apm1120209.x
  21. Pimentel J, Fernandes A, Pinto AE, Fonseca I, Moura Nunes JF, Lobo Antunes J : Clear cell meningioma variant and clinical aggressiveness. Clin Neuropathol 17 : 141-146, 1998
  22. Prinz M, Patt S, Mitrovics T, Cervos-Navarro J : Clear cell meningioma: report of a spinal case. Gen Diagn Pathol 141 : 261-267, 1996
  23. Scheithauer BW : Tumors of the meninges: proposed modifications of the World Health Organization classification. Acta Neuropathol 80 : 343-354, 1990 https://doi.org/10.1007/BF00307686
  24. Shiraishi K : Glycogen-rich meningioma. Case report and short review. Neurosurg Rev 14 : 61-64, 1991
  25. Zorludemir S, Scheithauer BW, Hirose T, Van Houten C, Miller G, Meyer FB : Clear cell meningioma. A clinicopathologic study of a potentially aggressive variant of meningioma. Am J Surg Pathol 19 : 493-505, 1995 https://doi.org/10.1097/00000478-199505000-00001

Cited by

  1. Benign spinal meningioma without dural attachment presenting delayed CSF dissemination and malignant transformation vol.30, pp.3, 2011, https://doi.org/10.1007/s10014-012-0116-y
  2. Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature vol.56, pp.1, 2011, https://doi.org/10.3340/jkns.2014.56.1.58
  3. Hereditary clear cell meningiomas in a single family: three-cases report vol.160, pp.12, 2018, https://doi.org/10.1007/s00701-018-3727-1