Primary cervical extradural Meningioma presenting as neck mass — an unusual presentation of rare case

T Rajesh; Darshan Shetty

doi:10.51131/IJPCCR/v2i2.5

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International Journal of Preclinical and Clinical Research

DOI: 10.51131/IJPCCR/v2i2.5

Year: 2021, Volume: 2, Issue: 2, Pages: 51-55

Case Report

Primary cervical extradural Meningioma presenting as neck mass — an unusual presentation of rare case

T Rajesh ¹, Darshan Shetty ^2,*

1 Assistant Professor, Department of Neurosurgery, Mysore Medical College and Research Institute, Mysore, India

2 Junior Resident, Department of General Surgery, Mysore Medical College and Research Institute, Mysore, India

*Corrsponding author email: [email protected]

Received Date:10 April 2021, Accepted Date:24 July 2021, Published Date:26 July 2021

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Extradural spinal meningiomas are very rare, especially in cervical region. A purely extradural location presenting as neck mass is quite exceptional reported in this paper. We present a case of extradural meningioma in an 18 year old male located in cervical spine presenting as neck mass that was surgically treated with a provisional diagnosis of schwanomma. Histopathological diagnosis of fibroblastic meningioma was made with the routine hematoxylin and eosin (H & E) stain. The origin, clinical and radiological features, pathological findings with differential diagnosis and surgical treatment are discussed based on review of the literature. A meningioma of extradural in location presenting as neck mass, a rare entity, is still a diagnostic dilemma on clinically and radiology as findings overlap with many other common extradural spinal masses.

Keywords

Extradural, Meningioma, cervical

References

Nsir AB, Boughamoura M, Mahmoudi H, Kilani M, Hattab N. Uncommon Progression of an Extradural Spinal Meningioma. Case Reports in Surgery. 2014;2014:1–4. Available from: https://dx.doi.org/10.1155/2014/630876
Pant I, Gautam VKS, Kumari R, Chaturvedi S. Spinal tumour: primary cervical extradural meningioma at an unusual location. Journal of Spine Surgery. 2017;3(3):509–513. Available from: https://dx.doi.org/10.21037/jss.2017.08.11
Zevgaridis D, Thomé C. Purely epidural spinal meningioma mimicking metastatic tumor: case report and review of the literature. Spine (Phila Pa 1976). 2002;27(18):E403–5. Available from: 10.1097/00007632-200209150-00021
Tuli J, Drzymalski DM, Lidov H, Tuli S. Extradural En-Plaque Spinal Meningioma with Intraneural Invasion. World Neurosurgery. 2012;77(202):e5–e13. Available from: https://dx.doi.org/10.1016/j.wneu.2011.03.047
Gambardella G, Toscano S, Staropoli C, Longo M, D'Amico D, Marafioti T, et al. Epidural spinal meningioma. Role of magnetic resonance in differential diagnosis. Acta Neurochirurgica. 1990;107(1-2):70–73. Available from: https://dx.doi.org/10.1007/bf01402617
Khamary SME, Alorainy IA. Case 100: Spinal Epidural Meningioma. Radiology. 2006;241(2):614–617. Available from: https://dx.doi.org/10.1148/radiol.2412040203
JR, Brant-Zawadzki M, Chen M, Moore K, Salzman K. Diagnostic Imaging: Spine (1). (pp. IV1–78-IV1-81) 2004.
Jääskeläinen J. Seemingly complete removal of histologically benign intracranial meningioma: Late recurrence rate and factors predicting recurrence in 657 patients. A multivariate analysis. Surgical Neurology. 1986;26(5):461–469. Available from: https://dx.doi.org/10.1016/0090-3019(86)90259-4
Marciscano AE, Stemmer-Rachamimov AO, Niemierko A, Larvie M, Curry WT, Barker FG, et al. Benign meningiomas (WHO Grade I) with atypical histological features: correlation of histopathological features with clinical outcomes. Journal of Neurosurgery. 2016;124(1):106–114. Available from: https://dx.doi.org/10.3171/2015.1.jns142228
Aizer AA, Bi WL, Kandola MS, Lee EQ, Nayak L, Rinne ML, et al. Extent of resection and overall survival for patients with atypical and malignant meningioma. Cancer. 2015;121(24):4376–4381. Available from: https://dx.doi.org/10.1002/cncr.29639

Copyright

© 2021 Rajesh & Shetty. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Basaveshwara Medical College & Hospital, Chitradurga, Karnataka.