Diagnostics of intradural extramedullary tumor of the thoracic spine in the practice of a neurologist and neurosurgeon: a clinical case
Abstract
Intradural meningiomas account for 25 % to 46 % of all primary spinal tumors. For intradural extramedullary formations, ascending disturbances of sensitivity are characteristic; the boundaries are determined by the level of tumor lesions of the spinal cord and the degree of involvement of the spinal cord diameter. With the destruction of motor fibers in the anterior or lateral columns of the spinal cord, conductive motor lesions occur, localized below the level of the lesion. Prolonged asymptomatic course of the disease, the gradual development of clinical symptoms can lead to an untimely diagnosis. Taking into account the urgency of the problem, the frequency of occurrence and certain difficulties of primary clinical diagnosis, we present a description of a clinical case of a patient with an intradural extramedullary formation of the thoracic spine.
About the Authors
M. L. PospelovaRussian Federation
St. Petersburg
A. A. Oleinik
Russian Federation
St. Petersburg
E. A. Oleinik
Russian Federation
St. Petersburg
A. S. Nazarov
Russian Federation
St. Petersburg
A. M. Titova
Russian Federation
St. Petersburg
T. M. Alekseeva
Russian Federation
St. Petersburg
K. A. Samochernykh
Russian Federation
St. Petersburg
N. E. Ivanova
Russian Federation
St. Petersburg
References
1. Albanese V, Platania N. Spinal intradural extramedullary tumors. J Neurosurg Sci 2002;46:18–24.
2. Kwee, L.E., Harhangi, B.S., Ponne et al. Spinal meningiomas: Treatment outcome and long-term follow-up (2020) Clinical Neurology and Neurosurgery, 198, P. 106238.
3. Chotai SP, Mrak RE, Mutgi SA, et al. Ossification in an extra- intradural spinal meningioma-pathologic and surgical vistas. Spine J 2013;13: e21–6.
4. Taha M. M., Alawamry A., Abdel-Aziz H. R. Ossified Spinal Meningioma: A Case Report and a Review of the Literature. The Surgery Journal Vol. 5 No. 4/2019: е137-е141.
5. Ruggeri AG, Fazzolari B, Colistra D, et al. Calcified spinal meningiomas. World Neurosurg 2017;102:406–12.
6. Xia T, Tian JW. Entirely ossified subdural meningioma in thoracic vertebral canal. Spine J 2016;16: e11.
7. Saiwai, H., Okada, S., Hayashida, M. et al. Long-term outcomes of spinal meningioma resection with outer layer of dura preservation technique (2021) Journal of Clinical Neuroscience, 83, pp. 68–70.
8. Holleczek, B., Zampella, D., Urbschat, S. et al. Incidence, mortality and outcome of meningiomas: A population-based study from Germany (2019) Cancer Epidemiology, 62, статья № 101562
9. Bayoumi, A.B., Laviv, Y., Karaali et al. Spinal meningiomas: 61 cases with predictors of early postoperative surgical outcomes (2020) Journal of Neurosurgical Sciences, 64 (5), pp. 446–451
10. Гусев Е.И., Коновалов А. Н., Скворцов В. И. Неврология и нейрохирургия: учебник: в 2т. / Е. И. Гусев, А. Н. Коновалов, В. И. Скворцова. — 4-е изд., доп. — Т. 2. Нейрохирургия / под ред. А. Н. Коновалова, А. В. Козлова. — М.: ГЭОТАР-Медиа, 2015. — 408с.: ил.
Review
For citations:
Pospelova M.L., Oleinik A.A., Oleinik E.A., Nazarov A.S., Titova A.M., Alekseeva T.M., Samochernykh K.A., Ivanova N.E. Diagnostics of intradural extramedullary tumor of the thoracic spine in the practice of a neurologist and neurosurgeon: a clinical case. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(1):70-74. (In Russ.)