Meningioma at the Craniocervical Junction.

We report a case presenting progressive weakness of the limbs, paresthesia, disesthesias, and stiffness of the neck, radicular pain and vertigo. A multiplanar, multisequence MRI-spine showed a well defined dural based extra-medullary mass in the cranio cervical junction anteriorly with intense homogenous enhancement post contrast administration. The proximal cord is effaced and displaced antero-laterally to the left by this lesion. The right vertebral artery is encased by the mass. There is pathological cord hyperintensity extending from the inferior medulla to C2 vertebral body in keeping with compressive myelopathy. A tumor was partially removed and pathological study concluded as meningioma. We review the medical literature to update our current knowledge about this topic.