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http://dx.doi.org/10.3340/jkns.2014.56.1.58

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)
Publication Information
Journal of Korean Neurosurgical Society / v.56, no.1, 2014 , pp. 58-60 More about this Journal
Abstract
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.
Keywords
Spinal tumor; Fibrous meningioma; Non-dural based;
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