J Korean Neurosurg Soc.  2013 Feb;53(2):129-131. 10.3340/jkns.2013.53.2.129.

An Unusual Cervical Spinal Meningioma in a Child

• Cho HR
• Lee JK
• Paik AL
• Jang WY

• KMID: 2190693
• DOI: http://doi.org/10.3340/jkns.2013.53.2.129

Abstract

The incidence of spinal meningioma is very rare in children. A 14-year-old girl presented with right arm weakness, gait disturbance, and urinary incontinence. Cervical magnetic resonance imaging revealed an intradural extramedullary tumor dorsal to the spinal cord in the level of C1. The tumor was totally removed despite the severe cord compression. Meningotheliomatous meningioma was diagnosed after histological examination.

Keyword

Spinal meningioma

MeSH Terms

Arm
Child
Gait
Humans
Incidence
Magnetic Resonance Imaging
Meningioma
Spinal Cord
Urinary Incontinence

Figure

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  Fig. 1 Preoperative midsagittal (A) and axial (B) T1-weighted magnetic resonance images obtained after gadolinium administration, demonstrating a well enhanced intradural extramedullary tumor posterior to the cervical spinal cord.

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  Fig. 2 Intraoperative photography shows meningioma impinges on the cervical spinal cord.

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  Fig. 3 Postoperative magnetic resonance imaging 2 days after operation shows total resection of tumor.

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  Fig. 4 High-power photomicrography of the specimen shows clusters of meningothelial cells with indistinct cytoplasmic boundaries, nuclear clearing, cellular whorls and psammoma body (H&E, ×400).

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