Spinal meningioma

Case contributed by Pavan Borra
Diagnosis almost certain


Bilateral lower limb weakness.

Patient Data

Age: 65 years
Gender: Female

A well-defined T1, T2 isointense intradural extramedullary lesion noted in the spinal canal at D9-D10 level with compression of the spinal cord. Intense homogenous enhancement noted on contrast study.

Case Discussion

Differential diagnoses were meningioma and nerve sheath tumor. Postoperative histopathological examination revealed meningioma.

Spinal meningiomas are seen most commonly >40 years and in females. The thoracic region is the most common location for spinal meningiomas.

Other imaging features of meningiomas are a dural tail, bone erosions, enlargement of intervertebral foramina and scalloping of posterior vertebral margin.

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