J Korean Soc Spine Surg.  2019 Sep;26(3):100-104. 10.4184/jkss.2019.26.3.100.

A Rare Extradural Spinal Meningioma with Nocturnal Chest Pain: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Korea.
  • 2Department of Orthopedic Surgery, Konyang University College of Medicine, Korea. yougunwon@gmail.com
  • 3Department of Radiology, Klinik St. Anna, Luzern, Switzerland and Department of Radiology, Salzburg University Hospital, Austria.
  • 4University of Salzburg, Austria.
  • 5Department of Neurosurgery, Klinik St. Anna, Luzern, Switzerland.

Abstract

STUDY DESIGN: Case report.
OBJECTIVES
To report a rare case of a spinal extradural meningioma in a patient with longstanding nonspecific thoracic nocturnal pain. SUMMARY OF LITERATURE REVIEW: Meningioma is a frequent intradural extramedullary tumor that is associated with pain, sensory/motor deficits, and sphincter weakness. Spinal meningiomas most commonly occur in the thoracic spine, although they can also be found at other locations.
MATERIALS AND METHODS
A 65-year-old woman first visited the cardiac and gastrointestinal departments of our institution due to chest pain 2 years previously. No explanation for the complaint could be found in the heart or other organs. On a computed tomography scan of the thorax, a spinal mass was found a few months before the diagnosis. On magnetic resonance imaging, an extramedullary and extradural mass was observed at T7/8.
RESULTS
We performed surgery and found an extradural spinal meningioma upon the histological diagnosis. Postoperatively, the patient could adequately move both legs and feet and the nocturnal chest pain disappeared after surgery without any complications.
CONCLUSIONS
Awareness of the rarity and nonspecific symptoms of extradural spinal meningiomas will be beneficial for their accurate diagnosis and proper treatment.

Keyword

Extradural space; Thoracic pain; Iatrogenic dural injury; Spinal meningioma; Spine tumors
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