Choi Hoi Jung, Paeng Sung Hwa, Kim Sung Tae, Jung Yong Tae
Department of Neurosurgy, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Korean J Spine. 2012 Sep;9(3):269-71. doi: 10.14245/kjs.2012.9.3.269. Epub 2012 Sep 30.
Meningiomas are the second most common intradural spinal tumors accounting for 25% of all spinal tumors. Being a slow growing and invariably benign tumor, it responds favorably to surgical excision. In addition, spinal meningioma has low recurrence rates. However, we experienced a case of intradural extramedullary spinal meningioma which recurred 16 years after the initial surgery on a 64-year-old woman. She presented with progressive neurological symptoms and had a surgical history of removal of thoracic spinal meningioma 16 years ago due to bilateral low leg weakness. She underwent a second operation at the same site and a pale yellowish tumor was excised, which was histopathologically confirmed as meningothelial meningioma, compared with previously transitional type. she showed neurological recovery after the operation. We, therefore, report the good results of this recurrent intradural spinal meningioma case developed after 16 years with literature review.
脑膜瘤是第二常见的硬脊膜内脊髓肿瘤,占所有脊髓肿瘤的25%。作为一种生长缓慢且始终为良性的肿瘤,它对手术切除反应良好。此外,脊髓脑膜瘤的复发率较低。然而,我们遇到了一例硬脊膜外髓内脊髓脑膜瘤病例,一名64岁女性在初次手术后16年复发。她出现进行性神经症状,16年前因双侧小腿无力有过胸椎脊髓脑膜瘤切除手术史。她在同一部位接受了第二次手术,切除了一个淡黄色肿瘤,经组织病理学证实为脑膜内皮型脑膜瘤,与之前的过渡型不同。术后她神经功能恢复。因此,我们报告这例16年后复发的硬脊膜内脊髓脑膜瘤病例的良好结果并进行文献复习。