Spinal meningioma

Case contributed by Dr Ian Bickle

Presentation

Young female from a peripheral hospital with paraparesis.

Patient Data

Age: 30 years
Gender: Female
MRI

Well defined enhancing intradural, extramedullary mass at the T2/T3 level causing severe compression.

High signal foci in the cord in keeping with compression related oedema.

Case Discussion

The appearances are in keeping with a benign intradural extramedullary spinal tumour.

The differential includes; a spinal meningioma, schwannoma and neurofibroma.

No convinving dural tail is evident, however this is the most likely cause, 80% of spinal meningiomas occuring at the thoracic level.

No internal cystic component as is common with a schwannoma.  No other lesions to suggest a neurofibroma.

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Case information

rID: 32138
Case created: 16th Nov 2014
Last edited: 27th Apr 2017
System: Spine
Inclusion in quiz mode: Included

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