Open AccessMultiple spinal and cranial meningiomas: A case report and review of literature
Author(s) -
Jain Sk,
I Vijay Sundar,
Vinod Sharma,
Ravishankar S Goel,
K L Prasanna
Publication year - 2015
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/1793-5482.145185
Subject(s) - medicine , meningioma , laminectomy , magnetic resonance imaging , radiology , spinal cord , histopathology , spinal cord neoplasm , pathology , psychiatry
Though meningiomas are common neoplasms of the nervous system, the occurrence of multiple meningiomas in different neuraxial compartments is rather rare. We report a case of a 62-year-old female who presented with spastic paraparesis in both lower limbs, and was found to have multiple homogenously enhancing tumors of dorsolumbar spine. Cranial magnetic resonance imaging (MRI) revealed multiple bilateral supratentorial meningiomas. She underwent multiple level laminectomy and total removal of spinal tumors after which power improved in both lower limbs. Histopathology revealed psammomatous meningiomas. Only around 19 cases of multiple cranial and spinal meningiomas have been reported, of which, only five cases have more than one spinal meningioma. The implication of the incidence of such multiple meningiomas in the same patient with relevance to investigations and decision making are discussed along with a brief review of literature of cases with multiple spinal and cranial meningiomas.