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Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature

  • Lee, Ji Hye (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Moon, Hong Joo (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Joo Han (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Park, Youn-Kwan (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine)
  • 투고 : 2013.07.03
  • 심사 : 2013.12.30
  • 발행 : 2014.07.28

초록

Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a $1.7{\times}1.4-cm$ mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.

키워드

참고문헌

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피인용 문헌

  1. Intradural Extramedullary Spinal Neoplasms: Radiologic-Pathologic Correlation vol.39, pp.2, 2014, https://doi.org/10.1148/rg.2019180200
  2. Pediatric nondura-based clear cell meningioma of the cauda equina: case report and review of literature vol.34, pp.2, 2014, https://doi.org/10.1080/02688697.2018.1429565
  3. Intraoperative Anatomical Findings in Pediatric Clear Cell Meningioma of the Lumbar Spine: Case Report and Literature Review vol.8, pp.1, 2014, https://doi.org/10.2176/nmccrj.cr.2020-0356