Epidural angiomatous meningioma of the thoracic spine: A case report

Yang,Tao; Wu,Liang; Yang,Chenlong; Xu,Yulun

doi:10.3892/ol.2015.3869

January-2016 Volume 11 Issue 1

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

January-2016 Volume 11 Issue 1

Full Size Image

Case Report

Epidural angiomatous meningioma of the thoracic spine: A case report

Authors:
- Tao Yang
- Liang Wu
- Chenlong Yang
- Yulun Xu
View Affiliations / Copyright

Affiliations: Department of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Dongcheng, Beijing 100050, P.R. China
Pages: 458-460
|
Published online on: November 5, 2015

https://doi.org/10.3892/ol.2015.3869
Expand metrics +

Abstract

Spinal epidural angiomatous meningiomas (AMs) are extremely rare lesions. Here, we report on a case of an epidural AM of the thoracic spine with chronic but severe cord compression. The patient underwent a T6‑T8 laminectomy through the posterior approach. En bloc resection was achieved, and histopathological examination demonstrated an AM. Delayed paraplegia occurred 4 h postoperatively. The patient was treated with methylprednisolone, hyperbaric oxygen and rehabilitation. Gradually, over the next six months, the bilateral leg strength was improved compared with the preoperative status, and no tumor recurrence was noted. Although epidural AM is extremely rare, it should be included in the differential diagnosis of spinal epidural lesions. A definitive diagnosis is difficult based on magnetic resonance imaging alone due to the nonspecific characteristics of the tumor. Since AM is a histologically benign and highly vascularized tumor, timely gross total resection (GTR) is the most effective treatment. A good clinical outcome may be expected following GTR (Simpson grade I and II resection).

View Figures

View References

1	Liu Z, Wang C, Wang H, Wang Y, Li JY and Liu Y: Clinical characteristics and treatment of angiomatous meningiomas: a report of 27 cases. Int J Clin Exp Pathol. 6:695–702. 2013.PubMed/NCBI
2	Hasselblatt M, Nolte KW and Paulus W: Angiomatous meningioma: a clinicopathologic study of 38 cases. Am J Surg Pathol. 28:390–393. 2004. View Article : Google Scholar : PubMed/NCBI
3	Levy WJ Jr, Bay J and Dohn D: Spinal cord meningioma. J Neurosurg. 57:804–812. 1982. View Article : Google Scholar : PubMed/NCBI
4	Boström A, Bürgel U, Reinacher P, Krings T, Rohde V, Gilsbach JM and Hans FJ: A less invasive surgical concept for the resection of spinal meningiomas. Acta Neurochir (Wien). 150:551–556. 2008. View Article : Google Scholar : PubMed/NCBI
5	Nakamura M, Tsuji O, Fujiyoshi K, Hosogane N, Watanabe K, Tsuji T, Ishii K, Toyama Y, Chiba K and Matsumoto M: Long-term surgical outcomes of spinal meningiomas. Spine (Phila Pa 1976). 37:E617–E623. 2012. View Article : Google Scholar : PubMed/NCBI
6	Dyck PJ, Boes CJ, Mulder D, Millikan C, Windebank AJ, Dyck PJ and Espinosa R: History of standard scoring, notation and summation of neuromuscular signs. A current survey and recommendation. J Peripher Nerv Syst. 10:158–173. 2005. View Article : Google Scholar : PubMed/NCBI
7	Haft H and Shenkin Ha: Spinal epidural meningioma: Case report. J Neurosurg. 20:801–804. 1963. View Article : Google Scholar : PubMed/NCBI
8	Fortuna A, Gambacorta D and Occhipinti EM: Spinal extradural meningiomas. Neurochirurgia (Stuttg). 12:166–180. 1969.PubMed/NCBI
9	Takeuchi H, Kubota T, Sato K and Hirose S: Cervical extradural meningioma with rapidly progressive myelopathy. J Clin Neurosci. 13:397–400. 2006. View Article : Google Scholar : PubMed/NCBI
10	Zevgaridis D and Thomé C: Purely epidural spinal meningioma mimicking metastatic tumor: case report and review of the literature. Spine (Phila Pa 1976). 27:E403–E405. 2002. View Article : Google Scholar : PubMed/NCBI
11	Kumar S, Kaza RC, Maitra TK and Chandra M: Extradural spinal meningioma arising from a nerve root: case report. J Neurosurg. 52:728–729. 1980. View Article : Google Scholar : PubMed/NCBI
12	Sato N and Sze G: Extradural spinal meningioma: MRI. Neuroradiology. 39:450–452. 1997. View Article : Google Scholar : PubMed/NCBI
13	Sarikaya-Seiwert S, Gierga K, Wessalowski R, Steiger HJ and Hänggi D: Solitary spinal epidural cavernous angiomas in children presenting with acute neurological symptoms caused by hemorrhage. J Neurosurg Pediatr. 5:89–93. 2010. View Article : Google Scholar : PubMed/NCBI
14	Rokni-Yazdi H and Sotoudeh H: Prevalence of ‘dural tail sign’ in patients with different intracranial pathologies. Eur J Radiol. 60:42–45. 2006. View Article : Google Scholar : PubMed/NCBI
15	Tien RD, Yang PJ and Chu PK: ‘Dural tail sign’: a specific MR sign for meningioma? J Comput Assist Tomogr. 15:64–66. 1991. View Article : Google Scholar : PubMed/NCBI
16	Rao S, Rajkumar A and Kuruvilla S: Angiomatous meningioma: a diagnostic dilemma. Indian J Pathol Microbiol. 51:53–55. 2008. View Article : Google Scholar : PubMed/NCBI
17	D'Amore ES, Manivel JC and Sung JH: Soft-tissue and meningeal hemangiopericytomas: an immunohistochemical and ultrastructural study. Hum Pathol. 21:414–423. 1990. View Article : Google Scholar : PubMed/NCBI
18	Orchowski J, Bridwell KH and Lenke LG: Neurological deficit from a purely vascular etiology after unilateral vessel ligation during anterior thoracolumbar fusion of the spine. Spine (Phila Pa 1976). 30:406–410. 2005. View Article : Google Scholar : PubMed/NCBI
19	Wu L, Yang T, Yang C, Deng X, Fang J and Xu Y: Surgical treatment of intraspinal angiomatous meningiomas from a single center. Neurol Med Chir (Tokyo). 55:328–335. 2015. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Epidural angiomatous meningioma of the thoracic spine: A case report

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Related Articles