Bilateral lower limb weakness.
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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.
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.
- 1. Gezen F, Kahraman S, Canakci Z, Bedük A. Review of 36 cases of spinal cord meningioma. (2000) Spine. 25 (6): 727-31. Pubmed