A primary meningioma of the lumbar spine with neck metastasis

Research output: Contribution to journalArticle

Abstract

Context: Approximately 25% of all primary spinal cord tumors are meningiomas, and 80% of these tumors occur in the thoracic region. Few meningiomas of the lumbar spine have been presented. Extracranial metastasis of meningioma occurs extremely rare, only in about 0.1% of meningiomas. Even metastasis, the sites are seldom seen in deep soft tissue. We reported a woman original meningioma in the lumbar spine with distal deep neck metastasis. Findings: A 59-year-old patient suffered from severe right drop foot, numbness, and radicular pain for the previous 6 months. Computed tomography (CT) disclosed a huge, macrolobulated retroperitoneal soft-tissue lesion with a size of 14.9 × 10.8 × 17.7 cm. Magnetic resonance imaging (MRI) further revealed a solid spinal intracanal tumor with moderate enhancement involving the right paraspinal region at the L2∼L5 level and the right iliac fossa. A meningioma was diagnosed with histological proof. Four months later, another metastatic meningioma in her left neck. She was managed conservatively without neurologic dysfunction. Conclusions: To the best of our knowledge, such a large meningioma of the lumbar spine has not previously been reported in the literature. In this study, we demonstrated a rare spinal meningioma located in the lumbar spine primarily with secondary soft tissue metastasis.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalJournal of Spinal Cord Medicine
Early online dateJan 9 2019
DOIs
Publication statusPublished - 2019

Fingerprint

Meningioma
Spine
Neck
Neoplasm Metastasis
Spinal Cord Neoplasms
Hypesthesia
Neurologic Manifestations
Foot
Neoplasms
Thorax
Tomography
Magnetic Resonance Imaging
Pain

Keywords

  • Lumbar spine
  • Meningioma
  • Metastatic
  • Neck metastasis
  • Spinal meningioma

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

A primary meningioma of the lumbar spine with neck metastasis. / Sung, Chih-Wei; Hsieh, Kevin Li-Chun; Kuo, Yi-Jie.

In: Journal of Spinal Cord Medicine, 2019, p. 1-4.

Research output: Contribution to journalArticle

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AB - Context: Approximately 25% of all primary spinal cord tumors are meningiomas, and 80% of these tumors occur in the thoracic region. Few meningiomas of the lumbar spine have been presented. Extracranial metastasis of meningioma occurs extremely rare, only in about 0.1% of meningiomas. Even metastasis, the sites are seldom seen in deep soft tissue. We reported a woman original meningioma in the lumbar spine with distal deep neck metastasis. Findings: A 59-year-old patient suffered from severe right drop foot, numbness, and radicular pain for the previous 6 months. Computed tomography (CT) disclosed a huge, macrolobulated retroperitoneal soft-tissue lesion with a size of 14.9 × 10.8 × 17.7 cm. Magnetic resonance imaging (MRI) further revealed a solid spinal intracanal tumor with moderate enhancement involving the right paraspinal region at the L2∼L5 level and the right iliac fossa. A meningioma was diagnosed with histological proof. Four months later, another metastatic meningioma in her left neck. She was managed conservatively without neurologic dysfunction. Conclusions: To the best of our knowledge, such a large meningioma of the lumbar spine has not previously been reported in the literature. In this study, we demonstrated a rare spinal meningioma located in the lumbar spine primarily with secondary soft tissue metastasis.

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