颈椎硬膜外脑膜瘤：病例报告及文献综述
Cervical extradural meningioma: case report and literature review.
作者信息
Frank Brian L, Harrop James S, Hanna Amgad, Ratliff John
机构信息
Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
出版信息
J Spinal Cord Med. 2008;31(3):302-5. doi: 10.1080/10790268.2008.11760727.
Abstract
BACKGROUND
Extradural lesions are most commonly metastatic neoplasms. Extradural meningioma accounts for 2.7 to 10% of spinal neoplasms and most commonly is found in the thoracic spine.
DESIGN
Case report.
FINDINGS
A 45-year-old woman presented with posterior cervicothoracic pain for 8 months following a motor vehicle crash. Magnetic resonance imaging of the cervical spine revealed an enhancing epidural mass. Computerized tomography of the chest, abdomen, and pelvis revealed no systemic disease. Due to the lesion's unusual signal characteristics and location, an open surgical biopsy was completed, which revealed a psammomatous meningioma. Surgical decompression of the spinal cord and nerve roots was then performed. The resection was subtotal due to the extension of the tumor around the vertebral artery.
CONCLUSION
Meningiomas should be considered in the differential diagnosis of contrast-enhancing lesions in the cervical spine.
摘要
背景
硬膜外病变最常见的是转移性肿瘤。硬膜外脑膜瘤占脊柱肿瘤的2.7%至10%，最常见于胸椎。
设计
病例报告。
结果
一名45岁女性在机动车碰撞后出现颈胸后部疼痛8个月。颈椎磁共振成像显示硬膜外肿块强化。胸部、腹部和骨盆的计算机断层扫描未发现全身性疾病。由于病变的信号特征和位置不寻常，进行了开放性手术活检，结果显示为砂粒体性脑膜瘤。随后对脊髓和神经根进行了手术减压。由于肿瘤在椎动脉周围延伸，切除为次全切除。
结论
在颈椎强化病变的鉴别诊断中应考虑脑膜瘤。
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本文引用的文献
1
Cervical extradural en-plaque meningioma.
Neurol Med Chir (Tokyo). 2007 Jan;47(1):36-9. doi: 10.2176/nmc.47.36.
2
Aggressive recurrence of intra-extradural cervico-thoracic meningothelial meningioma.硬膜内外颈胸段脑膜皮型脑膜瘤的侵袭性复发
Acta Neurochir (Wien). 2007 Jan;149(1):83-6; discussion 86. doi: 10.1007/s00701-006-1056-2. Epub 2006 Dec 15.
3
Cervical extradural meningioma with rapidly progressive myelopathy.
J Clin Neurosci. 2006 Apr;13(3):397-400. doi: 10.1016/j.jocn.2005.05.018. Epub 2006 Mar 20.
4
SPINAL EPIDURAL MENINGIOMA: CASE REPORT.
J Neurosurg. 1963 Sep;20:801-4. doi: 10.3171/jns.1963.20.9.0801.
5
Spinal cord tumors.脊髓肿瘤
Radiology. 1961 Mar;76:381-92. doi: 10.1148/76.3.381.
6
Spinal meningiomas and neurofibromas.脊髓脑膜瘤和神经纤维瘤。
Acta Radiol (Stockh). 1953 Aug-Sep;40(2-3):283-300. doi: 10.3109/00016925309176591.
7
Spinal meningiomas in patients younger than 50 years of age: a 21-year experience.50岁以下患者的脊髓脑膜瘤：21年的经验
J Neurosurg. 2003 Apr;98(3 Suppl):258-63. doi: 10.3171/spi.2003.98.3.0258.
8
Purely epidural spinal meningioma mimicking metastatic tumor: case report and review of the literature.酷似转移性肿瘤的单纯硬膜外脊髓脊膜瘤：病例报告及文献复习
Spine (Phila Pa 1976). 2002 Sep 15;27(18):E403-5. doi: 10.1097/00007632-200209150-00021.
9
Spinal epidural en-plaque meningioma with an unusual pattern of calcification in a 14-year-old girl: case report and review of the literature.一名14岁女孩的脊柱硬膜外平板状脑膜瘤伴不寻常钙化模式：病例报告及文献复习
Neuroradiology. 2002 Mar;44(3):256-60. doi: 10.1007/s00234-001-0709-3.
10
Extradural spinal meningioma arising from a nerve root: case report.
J Neurosurg. 1980 May;52(5):728-9. doi: 10.3171/jns.1980.52.5.0728.
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