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Lumbar spine epidural meningioma: report of a rare case

Spinal Cord Series and Cases volume 9, Article number: 53 (2023) Cite this article

Subjects

Abstract

Introduction and importance

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.

Case presentation and clinical discussion

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.

Conclusions

Spinal epidural meningiomas are rare and should optimally be fully excised at the index surgery.

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Fig. 1: Spinal MRI.
Fig. 2: Peroperative pictures.
Fig. 3: Pathological exam.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia

    Ghassen Gader, Mourad Masmoudi, Mohamed Ilyes Krifa, Ihsèn Zammel & Mohamed Badri

  2. Department of Neurosurgery, National Institute of Neurology, Tunis, Tunisia

    Khalil Ghedira

  3. Department of Pathology, La Rabta Hospital, Tunis, Tunisia

    Ines Chelly

Authors
  1. Ghassen Gader
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  3. Khalil Ghedira
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  4. Mohamed Ilyes Krifa
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  5. Ines Chelly
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  6. Ihsèn Zammel
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Contributions

GG and MM wrote the manuscript. KG and MIK provided the iconography. IC and IZ made the bibliographic research. MB corrected the manuscript. GG is the guarantor for this manuscript.

Corresponding author

Correspondence to Ghassen Gader.

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The authors declare no competing interests.

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Written informed consent was obtained from the patient to publish this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request. The article is not commissioned, externally peer-reviewed.

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Gader, G., Masmoudi, M., Ghedira, K. et al. Lumbar spine epidural meningioma: report of a rare case. Spinal Cord Ser Cases 9, 53 (2023). https://doi.org/10.1038/s41394-023-00608-z

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