Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Totally Ossified Metaplastic Spinal Meningioma

  • Received : 2013.04.04
  • Accepted : 2013.09.08
  • Published : 2013.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

A 61-year-old woman with a very rare case of totally ossified large thoracic spinal metaplastic meningioma, showing progressing myelopathy is presented. Computed tomographic images showed a large totally ossfied intradural round mass occupying the spinal canal on T9-10 level. Magnetic resonance imaging revealed a large T9-10 intradural extramedullary mass that was hypointense to spinal cord on T1- and T2-weighted sequences, partial enhancement was apparent after Gadolinium administration. The spinal cord was severely compressed and displaced toward the right at the level of T9-10. Surgical removal of the tumor was successfully accomplished via the posterior midline approach and the histological diagnosis verified an ossified metaplastic meningioma. The clinical neurological symptoms of patient were improved postoperatively. In this article we discuss the surgical and pathological aspects of rare case of spinal totally ossified metaplastic meningioma.

Keywords

References

  1. Antons K : Calcified spinal meningioma visible on the roentgen film. Acta Psychiat Scand 19 : 5-9, 1944 https://doi.org/10.1111/j.1600-0447.1944.tb04555.x
  2. Bonstelle CT, Vines FS : Calcification in a cervical intraspinal neurilemmoma. Neuroradiology 10 : 231-233, 1976 https://doi.org/10.1007/BF00327569
  3. Camp JD : The roentgenologic localization of tumors affecting the spinal cord. Am J Roentgenol 40 : 540-544, 1938
  4. Calogero JA, Moossy J : Extradural spinal meningiomas. Report of four cases. J Neurosurg 37 : 442-447, 1972 https://doi.org/10.3171/jns.1972.37.4.0442
  5. Culver GJ, Concannon JP, Koenig EC : Calcification in intraspinal meningiomas. Am J Roentgenol Radium Ther 62 : 237-246, 1949
  6. Doita M, Harada T, Nishida K, Marui T, Kurosaka M, Yoshiya S : Recurrent calcified spinal meningioma detected by plain radiograph. Spine (Phila Pa 1976) 26 : E249-E252, 2001 https://doi.org/10.1097/00007632-200106010-00005
  7. Freidberg SR : Removal of an ossified ventral thoracic meningioma. Case report. J Neurosurg 37 : 728-730, 1972 https://doi.org/10.3171/jns.1972.37.6.0728
  8. Garfinkle W, Yudd AP : Calcified intraspinal meningioma detected by computed tomography. Comput Radiol 6 : 305-307, 1982 https://doi.org/10.1016/0730-4862(82)90119-6
  9. Gezen F, Kahraman S, Canakci Z, Bedük A : Review of 36 cases of spinal cord meningioma. Spine (Phila Pa 1976) 25 : 727-731, 2000 https://doi.org/10.1097/00007632-200003150-00013
  10. Huang TY, Kochi M, Kuratsu J, Ushio Y : Intraspinal osteogenic meningioma : report of a case. J Formos Med Assoc 98 : 218-221, 1999
  11. Kaufman AB, Dunsmore RH : Clinicopathological considerations in spinal meningeal calcification and ossification. Neurology 21 : 1243-1248, 1971 https://doi.org/10.1212/WNL.21.12.1243
  12. King AT, Sharr MM, Gullan RW, Bartlett JR : Spinal meningiomas : a 20-year review. Br J Neurosurg 12 : 521-526, 1998 https://doi.org/10.1080/02688699844367
  13. Kitagawa M, Nakamura T, Aida T, Iwasaki Y, Abe H, Nagashima K : [Clinicopathologic analysis of ossification in spinal meningioma]. Noshuyo Byori 11 : 115-119, 1994
  14. Klekamp J, Samii M : Surgical results for spinal meningiomas. Surg Neurol 52 : 552-562, 1999 https://doi.org/10.1016/S0090-3019(99)00153-6
  15. Kubota T, Sato K, Yamamoto S, Hirano A : Ultrastructural study of the formation of psammoma bodies in fibroblastic meningioma. J Neurosurg 60 : 512-517, 1984 https://doi.org/10.3171/jns.1984.60.3.0512
  16. Levy WJ Jr, Bay J, Dohn D : Spinal cord meningioma. J Neurosurg 57 : 804-812, 1982 https://doi.org/10.3171/jns.1982.57.6.0804
  17. Memon MY, Schneck L : Ventral spinal tumor : the value of computed tomography in its localization. Neurosurgery 8 : 108-111, 1981 https://doi.org/10.1227/00006123-198101000-00021
  18. Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL : Meningioma : analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62 : 18-24, 1985 https://doi.org/10.3171/jns.1985.62.1.0018
  19. Naderi S, Yilmaz M, Canda T, Acar U : Ossified thoracic spinal meningioma in childhood : a case report and review of the literature. Clin Neurol Neurosurg 103 : 247-249, 2001 https://doi.org/10.1016/S0303-8467(01)00157-3
  20. Niijima K, Huang YP, Malis LI, Sachdev VP : Ossified spinal meningioma en plaque. Spine (Phila Pa 1976) 18 : 2340-2343, 1993 https://doi.org/10.1097/00007632-199311000-00036
  21. Nyström SH, Nyholm M : The origin of the calcium deposits in psammoma bodies of human spinal meningiomas. Naturwissenschaften 53 : 703-704, 1966
  22. Parizel PM, Balériaux D, Rodesch G, Segebarth C, Lalmand B, Christophe C, et al. : Gd-DTPA-enhanced MR imaging of spinal tumors. AJR Am J Roentgenol 152 : 1087-1096, 1989 https://doi.org/10.2214/ajr.152.5.1087
  23. Pear BL, Boyd HR : Roentgenographically visible calcifications in spinal meningioma. Am J Roentgenol Radium Ther Nucl Med 120 : 32-45, 1974 https://doi.org/10.2214/ajr.120.1.32
  24. Roux FX, Nataf F, Pinaudeau M, Borne G, Devaux B, Meder JF : Intraspinal meningiomas : review of 54 cases with discussion of poor prognosis factors and modern therapeutic management. Surg Neurol 46 : 458-463; discussion 463-464, 1996 https://doi.org/10.1016/S0090-3019(96)00199-1

Cited by

  1. Pathology and Molecular Genetics of Meningioma: Recent Advances vol.55, pp.1, 2013, https://doi.org/10.2176/nmc.ra.2014-0233
  2. Spinal osteoblastic meningioma with hematopoiesis: radiologic-pathologic correlation and review of the literature vol.24, pp.None, 2013, https://doi.org/10.1016/j.anndiagpath.2016.07.002
  3. Ossified Metaplastic Spinal Meningioma Without Psammomatous Calcification: A Case Report vol.62, pp.2, 2013, https://doi.org/10.33160/yam.2019.06.008
  4. Thoracic psammomatous meningioma with osseous metaplasia: a controversial diagnosis of a case report and literature review vol.17, pp.1, 2013, https://doi.org/10.1186/s12957-019-1694-5
  5. The surgical challenge of ossified ventrolateral spinal meningiomas: tricks and pearls for managing large ossified meningiomas of the thoracic spine vol.35, pp.4, 2021, https://doi.org/10.3171/2020.12.spine201526
  6. The surgical challenge of ossified ventrolateral spinal meningiomas: tricks and pearls for managing large ossified meningiomas of the thoracic spine vol.35, pp.4, 2021, https://doi.org/10.3171/2020.12.spine201526