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Case Reports: Unusual association of diseases/symptoms
Craniocervical junction intradural extramedullary meningioma with cord compression
  1. Bahadar S Srichawla,
  2. Hande Can and
  3. Wissam Deeb
  1. Department of Neurology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
  1. Correspondence to Dr Bahadar S Srichawla; bahadar.srichawla{at}umassmemorial.org

Abstract

Craniocervical spine meningiomas are rare. They often present with non-specific motor or sensory symptoms. Presenting symptoms can include gait ataxia, radiculopathy, myelopathy, back pain and sensory deficits. Spinal meningiomas are slow-growing tumours, with an insidious onset. Due to the critical location of craniocervical meningiomas, severe symptoms such as respiratory distress and quadriparesis are possible. We describe the clinical presentation of a craniocervical junction meningioma, its relevant neuroimaging findings, diagnostic challenges and management. A woman in her 30s presented with a subacute onset of neck pain, headaches, paresthesia and a Hoffman’s sign of the left upper extremity. A cervical spine MRI revealed an intradural extramedullary craniocervical junction meningioma involving the C1 segment with cord compression. The tumour measured 1.4×2×2.2 cm. A mid-line suboccipital craniectomy, tumour resection (Simpson grade II) with cervical laminectomy, and dural grafting were completed for definitive management. A brief literature review was conducted yielding a total of 24 cases.

  • Radiology (diagnostics)
  • Neuroimaging
  • Spinal cord
  • Neurosurgery
  • Surgical oncology

https://doi.org/10.1136/bcr-2023-255544

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    Footnotes

    • Twitter @BSrichawlaDO

    • Contributors BSS directly took care of the patient and drafted the original manuscript, providing intellectual verification and editing of the final manuscript. HC drafted the initial manuscript and took direct care of the patient. WD directly took care of the patient, edited the final manuscript, and provided intellectual verification. All authors approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.