Coexisting cranial and multiple spinal meningioma in a child-report of a case.
Von Ricklinghausen's disease is commonly associated with simultaneous cranial and spinal meningioma but these are not true meningiomas. Craniospinal meningiomas without Von Ricklinghausen's disease are very rare. We report a 13-year-old girl who presented with two episodes of right focal seizure with secondary generalisation of three year's duration, weakness of both lower limbs for 6 months, and retention of urine of three month's duration. MRI brain showed enhancing lesion in the left fronto-parietal region. MRI spine revealed enhancing intradural extramedullary lesion at D(4-5), D(9-10), and L(1-2). The tumours were excised completely in a single stage, first by craniotomy then by multi level laminectomy. On histology the spinal meningioma had predominant meningothiliomatous. We followed up for 6 months and the patient recovered with power grade 4/5 both lower limb.
Shukla
Sujeet Kumar
SK
Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. shuklaims@sify.com
Trivedi
Adarsh
A
Sharma
Vivek
V
Singh
Kulwant
K
D000293:Adolescent; D002869:Chromosome Aberrations; D003390:Cranial Nerve Neoplasms / Q000235:genetics / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000235:genetics / Q000473:pathology* / Q000601:surgery; D008579:Meningioma / Q000235:genetics / Q000473:pathology* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000235:genetics / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome