{"id":"d3f87d42-905d-438a-af68-af8da5af948d","slug":"cervical-intra-extradural-meningioma-with-en-plaque-dumbbell-shaped-and-an-unusual-calcified-pattern-in-a-young-patient","title":"Cervical intra-extradural meningioma with en-plaque, dumbbell-shaped, and an unusual calcified pattern in a young patient","authors":["Bao Quoc Nguyen","Duc Duy Tri Tran","Thuan Cong Dang","Thi Dang Mai","Hai Duong Pham","Van Tri Truong"],"abstract":"Background: Most spinal meningiomas primarily grow in the intradural extramedullary location. Epidural meningiomas are uncommon; if detected, they usually coexist with intradural lesions. They inhere more aggressive and invasive characteristics compared with their counterparts inside the dura. Case Description: We report a 22-year-old female who was admitted to the hospital with weakness and numbness in both lower limbs. Her cervical magnetic resonance imaging revealed an en-plaque and dumbbell-shaped lesion located from C5 to C8. After gadolinium injection, the whole mass was enhanced and unveiled two portions: intradural and extradural. The bone window of the computed tomography scan revealed calcification inside the lesion. The patient underwent tumor removal surgery. The pathology findings showed a psammomatous meningioma. After 6 months of surgery, the patient has been able to walk with walkers. Conclusion: We should consider spinal meningioma as a differential diagnosis when encountering an extradural lesion in the cervical region. The optimal surgical treatment for young patient with epidural meningiomas is radical surgery with dura attachment removal.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d3f87d42-905d-438a-af68-af8da5af948d/featured/hero-1781562069703.png","publishDate":"2021-09-06T00:00:00.000Z","doi":"10.25259/SNI_615_2021","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/09/11087/SNI-12-454.pdf"}