%0 Case Reports %T Lumbar spine epidural meningioma: report of a rare case. %A Gader G %A Masmoudi M %A Ghedira K %A Krifa MI %A Chelly I %A Zammel I %A Badri M %J Spinal Cord Ser Cases %V 9 %N 1 %D 2023 10 31 %M 37907495 暂无%R 10.1038/s41394-023-00608-z %X Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare. Here we present a 64 year-old-male with a purely extradural meningioma, and reviewed 15 previously reported cases from the literature.
A 64-year-old male presented with a progressive cauda equine syndrome. When Lumbar spine MRI showed two extradural lesions regarding the L3-L4 level, one was fully removed (i.e., the posterolateral lesion), while the other anterior lesion was left alone (i.e., to avoid potential neurologic sequelae). Pathologically, the lesion was a benign meningioma.
Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.