ABSTRACT
Chordoid meningioma, an uncommon subtype of meningioma, occurs rarely in the spine. In this case report, the authors present a case of spinal chordoid meningioma in a young female patient, and include a detailed description of imaging findings and a literature review.
Subject(s)
Female , Humans , Meningioma , SpineABSTRACT
Dumbbell-shaped spinal extradural cavernous hemangioma is rare. The differential diagnosis of dumbbell-shaped spinal tumors based on magnetic resonance imaging includes schwannoma and lymphoma. Here, we report a dumbbell-shaped spinal extradural cavernous hemangioma with intrathoracic growth on T2-3 in a 64-year-old man complaining of right side infrascapular area back pain with no neurologic deficit. The cavernous hemangioma was resected through combined video-assisted thoracoscopy and laminectomy without a fusion procedure. The patient had tolerable operative wound pain with no neurologic deficit after surgery. Based on magnetic resonance imaging findings and a review of the literature, we discuss cavernous hemangioma among the differential diagnosis of paravertebral dumbbell-shaped spinal tumors and the importance of complete resection.
Subject(s)
Humans , Middle Aged , Back Pain , Diagnosis, Differential , Hemangioma , Hemangioma, Cavernous , Laminectomy , Lymphoma , Magnetic Resonance Imaging , Neurilemmoma , Neurologic Manifestations , Spine , Thoracoscopy , Wounds and InjuriesABSTRACT
A 48 year-old male with back pain and foot drop had been treated. Studies for myelomatosis were all negative. A plain lumbar spin X-ray showed an erosion of the left pedicle of the first lumbar vertebra. A myelography via lumbar and cisternal routes revealed total block with feather appearance at the upper level of the L2 and the lower level of the T12 vertebra. Pathologic evaluation confirmed the diagnosis of solitary myeloma of the bone. After undergoing almost total excision, followed by radiation, the patient was still doing well.
Subject(s)
Animals , Humans , Male , Middle Aged , Back Pain , Diagnosis , Feathers , Foot , Multiple Myeloma , Myelography , SpineABSTRACT
A 39 year-old male with swelling of the left temporal region, the left facial numbness, visual disturbance and slurred speech had been treated. Pain skull film showed an osteolytic bony defect in the left temporal squama with sclerotic margin. Left carotid angiogram showed a mass effect on the subtemporal region. CT scan revealed a well demarcated homogenous increased density of a snowman appearance in the left temporoparietal region. On operation, the temporal extradural highly vascularized mass was totally removed piecemeal, and another 6x5x5 cm of grayish brown rubbery-hard mass which located in the temporal lobe parenchyme was removed en bloc. The mass seemed to be extended from the extradural region. The histological diagnosis was a benign chondroblastoma. The patient was discharged without any evidence of neurological deficit.