{"id":"21c38f32-97fc-4c52-a012-68a1916f514e","slug":"purely-extradural-spinal-meningioma-a-case-report-and-literature-review","title":"Purely extradural spinal meningioma: A case report and literature review","authors":["Cher Shui","John Turchini","Mark Davies"],"abstract":"Background: Purely extradural spinal meningiomas (ESMs) are exceptionally rare and are often incorrectly diagnosed as metastases, hematological malignancies, or schwannomas. Here, we report a 66-year-old female who presented with an isolated extradural ESM. Case Description: A 66-year-old female presented with a 2.5-year history of a progressive paraparesis (i.e. T7 level) associated with a T5 sensory level. The MR showed a heterogeneously enhancing lesion circumferentially involving the spinal cord from T3 to T5, with left-sided T4/5 foraminal extension. Following a Simpson Grade 2 resection, the patient rapidly recovered full neurological function. Conclusion: The vast majority of the rarely encountered purely ESM are benign. Although gross total resection is optimal, additional adjunctive treatments are available for those treated with subtotal resections.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/21c38f32-97fc-4c52-a012-68a1916f514e/featured/hero-1781562080773.png","publishDate":"2021-08-30T00:00:00.000Z","doi":"10.25259/SNI_653_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/08/11078/SNI-12-431.pdf"}