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脊髓透明细胞型脑膜瘤:非典型的临床和影像学表现

Spinal Clear Cell Meningioma: Atypical Clinical and Radiological Manifestations.

作者信息

Alsadiq Mohammad Nasser, Albarbari Zainab Shaker, Alshakhs Fatimah, Alduayji Muath Ali, Al-Umran Shaymaa, Alenzi Abdulrahman

机构信息

Department of Neurosurgery, Dammam Medical Complex, Dammam, Saudi Arabia.

Department of pathology, Dammam Medical Complex, Dammam, Saudi Arabia.

出版信息

Case Rep Surg. 2021 May 27;2021:9998399. doi: 10.1155/2021/9998399. eCollection 2021.

Abstract

Meningioma has many subtypes with clear cell meningioma being more aggressive than other variants of meningioma and one of the rarest. We report a case of spinal clear cell meningioma that occurred in a 25-year-old lady who presented with the inability to be in the supine position. A magnetic resonance image showed an intradural mass extending from L1 to L4. Near complete excision was done. The patient had motor weakness postoperatively which improved gradually. A histopathological study showed a clear cell meningioma. In a differential diagnosis of any space-occupying lesion of the spine, clear cell meningioma should be considered though it is a rare form of meningioma due to its potential to recure. An accurate follow-up is warranted.

摘要

脑膜瘤有多种亚型,其中透明细胞型脑膜瘤比其他类型的脑膜瘤侵袭性更强,且是最罕见的类型之一。我们报告一例发生在一名25岁女性的脊髓透明细胞型脑膜瘤病例,该患者表现为无法仰卧。磁共振成像显示一个硬膜内肿物,从L1延伸至L4。实施了近全切术。患者术后出现运动无力,随后逐渐改善。组织病理学研究显示为透明细胞型脑膜瘤。在脊柱任何占位性病变的鉴别诊断中,尽管透明细胞型脑膜瘤是一种罕见的脑膜瘤类型,但因其有复发的可能,仍应予以考虑。需要进行准确的随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9e/8175162/b7b972e084e8/CRIS2021-9998399.001.jpg

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