Article Text

Unusual association of diseases/symptoms
Spinal meningioma containing bone: a case report and review of literature
  1. Mohammad Tahir1,
  2. Nida Usmani2,
  3. Faiz U Ahmad3,
  4. Sueba Salmani4,
  5. Manish S Sharma5
  1. 1
    Catholic Health System, State University of New York at Buffalo, Internal Medicine, 565 Abbott Rd, Mercy Hospital of Buffalo, Buffalo, New York, 14220, USA
  2. 2
    Lois Pope Life Center, Miami Project to Cure Paralysis, University of Miami, 1095 NW 14th Terrace, Miami, Florida, 33136, USA
  3. 3
    University of Miami Miller School of Medicine, 1095 NW 14th Terrace, Miami, Florida, 33136, USA
  4. 4
    Vardhaman Mahavir Medical College & SJ Hospital, Ansari Nagar, New Delhi, Delhi, 110029, India
  5. 5
    All India Institute of Medical Sciences, Department of Neurosurgery, Department of Neurosurgery, AIIMS, Ansari Nagar, New Delhi, Delhi, 110029, India
  1. Mohammad Tahir, mtahir{at}buffalo.edu

Summary

Meningiomas constitute about 25% of primary spinal tumours and 1% to 5% of them are calcified. Ossification is a rare event and is rarely reported. Here, the case of a 40-year-old woman who had dorsal spinal cord meningioma (globular variety) at the T6 vertebral level is reported; the meningioma showed a nidus of T2 weighting hypointensity on MRI as well as a bony chip inside the tumour intraoperatively. The tumour was successfully resected. Though the aetiology of ossification in the meningioma is not well known, metaplasia of arachnoid cells/dystrophic calcification may be the cause. Ossified meningiomas are more difficult to resect than the usual variety. Hypointensity inside tumour in T2-weighted images of MRI should make the surgeon suspicious of this condition, which may in some cases complicate tumour resection.

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Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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