Spinal meningioma

Case contributed by Fazel Rahman Faizi
Diagnosis almost certain


Bilateral lower limb weakness.

Patient Data

Age: 60 years
Gender: Female

There is a well-circumscribed, intra-dural, extra-medullary mass lesion with broad-based dural attachment in the vertebral canal anteriorly at D10/11 level, more lateralized to the left side. It is compressing and displacing the cord posteriorly and right laterally. 

The lesion returns iso-intense signal intensity on T1 and T2 weighted images with avid post-contrast enhancement. There is no evidence of syrinx formation superior or inferior to the lesion. A note is made of intra-osseous hemangioma within the body of D12 vertebra.

Case Discussion

The thoracic spine is the most frequent location for the spinal meningiomas. Magnetic resonance imaging is the best diagnostic modality for the diagnosis of meningiomas.

Dr. Farhad Farzam has also contributed to this case.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.