Unraveling the Enigma: A Report of a Rare Case of Acute Cord Syndrome Caused by Spinal Meningioma.

acute cord syndrome cns tumors dw-mri emergency neurosurgery neurological outcomes spinal meningioma

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Nov 2023
Historique:
accepted: 02 11 2023
medline: 5 12 2023
pubmed: 5 12 2023
entrez: 5 12 2023
Statut: epublish

Résumé

Spinal meningiomas (SMs) are a prevalent subtype of central nervous system tumors, with the majority adhering to the dura mater. In this case, we present the case of a 72-year-old female who initially reported numbness in her legs and the gradual onset of gait disturbances. Over a three-week period, these symptoms progressively worsened until she experienced a sudden onset of weakness and neurological deficits, leading to the diagnosis of acute cord syndrome (ACS). Magnetic resonance imaging revealed an anomaly within the extramedullary space, precisely located at the T8-T9 level. This anomaly exhibited peripheral gadolinium enhancement and demonstrated a dural tail sign, indicating the presence of an abnormal mass. Furthermore, a dorsal spine CT scan confirmed these findings by revealing a hyperdense lesion localized within the T8-T9 region. The lesion was situated posterior to the spinal cord, and conspicuous alterations in the coloration of the dura mater at the corresponding level were evident. A complete surgical resection was performed successfully, and the patient's surgical intervention proceeded without complications. Following the surgery, we observed significant improvements in both sensory and motor functions compared to the patient's preoperative state.

Identifiants

pubmed: 38050491
doi: 10.7759/cureus.48191
pmc: PMC10693653
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e48191

Informations de copyright

Copyright © 2023, Rabi et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Karam Rabi (K)

Department of Medicine, Faculty of Medicine & Health Sciences, An-Najah National University, Nablus, PSE.
Department of Neurosurgery, Palestinian Medical Complex, Ramallah, PSE.

Shams Alhammouri (S)

Department of Neurosurgery, Palestinian Medical Complex, Ramallah, PSE.

Shadi Saa (S)

Department of Neurosurgery, Palestinian Medical Complex, Ramallah, PSE.

Classifications MeSH