{"title":"腰椎硬膜外脑膜瘤:一例罕见病例报告。","authors":"Ghassen Gader, Mourad Masmoudi, Khalil Ghedira, Mohamed Ilyes Krifa, Ines Chelly, Ihsèn Zammel, Mohamed Badri","doi":"10.1038/s41394-023-00608-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and importance: </strong>Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare. Here we present a 64 year-old-male with a purely extradural meningioma, and reviewed 15 previously reported cases from the literature.</p><p><strong>Case presentation and clinical discussion: </strong>A 64-year-old male presented with a progressive cauda equine syndrome. When Lumbar spine MRI showed two extradural lesions regarding the L3-L4 level, one was fully removed (i.e., the posterolateral lesion), while the other anterior lesion was left alone (i.e., to avoid potential neurologic sequelae). Pathologically, the lesion was a benign meningioma.</p><p><strong>Conclusions: </strong>Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"9 1","pages":"53"},"PeriodicalIF":0.7000,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618258/pdf/","citationCount":"0","resultStr":"{\"title\":\"Lumbar spine epidural meningioma: report of a rare case.\",\"authors\":\"Ghassen Gader, Mourad Masmoudi, Khalil Ghedira, Mohamed Ilyes Krifa, Ines Chelly, Ihsèn Zammel, Mohamed Badri\",\"doi\":\"10.1038/s41394-023-00608-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and importance: </strong>Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare. Here we present a 64 year-old-male with a purely extradural meningioma, and reviewed 15 previously reported cases from the literature.</p><p><strong>Case presentation and clinical discussion: </strong>A 64-year-old male presented with a progressive cauda equine syndrome. When Lumbar spine MRI showed two extradural lesions regarding the L3-L4 level, one was fully removed (i.e., the posterolateral lesion), while the other anterior lesion was left alone (i.e., to avoid potential neurologic sequelae). Pathologically, the lesion was a benign meningioma.</p><p><strong>Conclusions: </strong>Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.</p>\",\"PeriodicalId\":22079,\"journal\":{\"name\":\"Spinal Cord Series and Cases\",\"volume\":\"9 1\",\"pages\":\"53\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-10-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618258/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spinal Cord Series and Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1038/s41394-023-00608-z\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal Cord Series and Cases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41394-023-00608-z","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Lumbar spine epidural meningioma: report of a rare case.
Introduction and importance: Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare. Here we present a 64 year-old-male with a purely extradural meningioma, and reviewed 15 previously reported cases from the literature.
Case presentation and clinical discussion: A 64-year-old male presented with a progressive cauda equine syndrome. When Lumbar spine MRI showed two extradural lesions regarding the L3-L4 level, one was fully removed (i.e., the posterolateral lesion), while the other anterior lesion was left alone (i.e., to avoid potential neurologic sequelae). Pathologically, the lesion was a benign meningioma.
Conclusions: Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.