Cervical extradural meningioma with rapidly progressive myelopathy.
A 50-year-old man noticed numbness of both hands. Muscle strength in the upper and lower extremities progressively deteriorated, and he became unable to stand or hold a cup over a five-day period. MRI showed an extradural tumour encasing the anterior, posterior and right lateral aspects of the cervical spinal cord, maximal at C3-4 but extending to C1, and emerging from the right C3-4 intervertebral foramen. At surgery, the tumour was entirely extradural. Histological examination revealed a meningioma. The patient recovered without neurological deficit with no recurrence 3 years after surgery.
Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, 23-3 Shimoaizuki, Matsuoka, Fukui 910-1193, Japan. takeu@fmsrsa.fukui-med.ac.jp
Hiroaki
H
Takeuchi
Toshihiko
T
Kubota
Kazufumi
K
Sato
Satoshi
S
Hirose
D006801:Humans; D007796:Laminectomy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008579:Meningioma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D011184:Postoperative Period; D013118:Spinal Cord Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods