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Case Report Open Access

Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report

  • Authors:
    • Pei-Chen Hsieh
    • Johnny Chuieng-Yi Lu
    • Shih-Chiang Huang
    • Cheng Hong Toh
    • Hung-Chou Kuo
  • View Affiliations / Copyright

    Affiliations: Department of Neurology, Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan 333, Taiwan, R.O.C., Department of Plastic and Reconstructive Surgery, Division of Reconstructive Microsurgery, Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan 333, Taiwan, R.O.C., Department of Anatomical Pathology, Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan 333, Taiwan, R.O.C., Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan 333, Taiwan, R.O.C.
    Copyright: © Hsieh et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 205
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    Published online on: March 19, 2024
       https://doi.org/10.3892/etm.2024.12493
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Abstract

Extradural meningiomas are rare in the cervical region. A total of 70‑77% of reported cases have occurred in the thoracic region. Tumors that occur in the cervical region may invade the adjacent nerve root and brachial plexus. Typically, diagnoses of extradural meningioma are made after patients present with signs of myelopathy, such as progressive paresis and numbness. In the current study, a 64‑year‑old male patient presented with neck pain, numbness and mild weakness in the left hand over a 6‑month period. The general neurological examination was unremarkable, except for mild grasping weakness on the left side. Needle electromyography revealed complex repetitive discharges in the left 5 and 6th cervical paraspinal muscles. Neuromuscular ultrasound revealed a lesion over the left 7th cervical root, which enabled the early detection of an extradural meningioma before notable focal neurological defects developed. The patient underwent a subtotal tumor excision, followed by radiotherapy for residual tumor. Histopathological examination confirmed atypical meningioma.
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Copy and paste a formatted citation
Spandidos Publications style
Hsieh P, Lu JC, Huang S, Toh C and Kuo H: Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report. Exp Ther Med 27: 205, 2024.
APA
Hsieh, P., Lu, J.C., Huang, S., Toh, C., & Kuo, H. (2024). Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report. Experimental and Therapeutic Medicine, 27, 205. https://doi.org/10.3892/etm.2024.12493
MLA
Hsieh, P., Lu, J. C., Huang, S., Toh, C., Kuo, H."Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report". Experimental and Therapeutic Medicine 27.5 (2024): 205.
Chicago
Hsieh, P., Lu, J. C., Huang, S., Toh, C., Kuo, H."Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report". Experimental and Therapeutic Medicine 27, no. 5 (2024): 205. https://doi.org/10.3892/etm.2024.12493
Copy and paste a formatted citation
x
Spandidos Publications style
Hsieh P, Lu JC, Huang S, Toh C and Kuo H: Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report. Exp Ther Med 27: 205, 2024.
APA
Hsieh, P., Lu, J.C., Huang, S., Toh, C., & Kuo, H. (2024). Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report. Experimental and Therapeutic Medicine, 27, 205. https://doi.org/10.3892/etm.2024.12493
MLA
Hsieh, P., Lu, J. C., Huang, S., Toh, C., Kuo, H."Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report". Experimental and Therapeutic Medicine 27.5 (2024): 205.
Chicago
Hsieh, P., Lu, J. C., Huang, S., Toh, C., Kuo, H."Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report". Experimental and Therapeutic Medicine 27, no. 5 (2024): 205. https://doi.org/10.3892/etm.2024.12493
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