Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature

Journal of Korean Neurosurgical Society 2014³â 56±Ç 1È£ p.58 ~ p.60

ÀÌÁöÇý(Lee Ji-Hye) - Korea University College of Medicine Korea University Guro Hospital Department of Neurosurgery
¹®È«ÁÖ(Moon Hong-Joo) - Korea University College of Medicine Korea University Guro Hospital Department of Neurosurgery
±èÁÖÇÑ(Kim Joo-Han) - Korea University College of Medicine Korea University Guro Hospital Department of Neurosurgery
¹ÚÀ±°ü(Park Youn-Kwan) - Korea University College of Medicine Korea University Guro Hospital Department of Neurosurgery

Abstract

Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a 1.7¡¿1.4-cm mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.

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Spinal tumor, Fibrous meningioma, Non-dural based
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