The London Spine Unit : most advanced spinal clinic in UK
Published article
BACKGROUND: Primary intraosseous meningiomas (PIMs) are rare, and PIMs of the vertebrae have not yet been reported. The authors report a case of primary meningioma arising from the vertebrae.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
J Neurosurg Case Lessons. 2021 Oct 18;2(16):CASE21362. doi: 10.3171/CASE21362. eCollection 2021 Oct 18.
ABSTRACT
BACKGROUND: Primary intraosseous meningiomas (PIMs) are rare, and PIMs of the vertebrae have not yet been reported. The authors report a case of primary meningioma arising from the vertebrae.
OBSERVATIONS: A 49-year-old man presented with lower back pain and numbness in both lower extremities. Lumbar spine magnetic resonance imaging revealed an L2 pathological fracture with epidural and paraspinal invasion. The patient had undergone a first palliative decompression and fixation surgery, and the diagnosis turned out to be a World Health Organization grade III anaplastic meningioma based on histopathology. The tumor had progressed after first operation and radiation therapy, and the patient was referred to the authors’ institute for excision. The patient had an uneventful postoperative course after a revisional total en bloc spondylectomy of L2.
LESSONS: The authors present a rare case of PIM of the vertebrae with epidural and paraspinal invasion. Careful preoperative assessment and surgical planning is crucial for successful patient management.
PMID:35855279 | PMC:PMC9281493 | DOI:10.3171/CASE21362
The London Spine Unit : most advanced spinal clinic in UK
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Primary intraosseous meningioma of the vertebra: illustrative case