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Cranio-CervicalJunction Meningioma:A Rare Case Report Sukriti Das2020 год

Cranio-Cervical Junction Meningioma: A Rare Case Report
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Аннотация: Background: Meningioma is a benign and slowly growing intradural extramedullary spinal cord tumor.It arises from the arachnoid cap cell of the meninges.Meningioma of the cranio-cervical junction is a rare and unique diagnosis of about 1.8-3.2% of all meningiomas.These tumors usually grow slowly and develop symptoms gradually but, sometimes with sudden onset of quadriplegia.The lesions are usually very large at the time of diagnosis.Post-surgical tumor recurrence is high due to failure of complete removal of the tumor (Simpson grade-I) as critical vascular structures, brainstem and cranial nerves are close to it.Case Report: We presented a case of a cranio-cervical junction meningioma of a 45-year-old female who presented with neck pain with headache and gradual weakness of all 4 limbs that made her unable to walk without support and bed-ridden gradually.She also developed urinary incontinence and was catheterized.On examination, the patient was conscious and alert, muscle power was of MRC grade 0/5 in all groups of muscles in all 4 limbs.All deep tendon reflexes were exaggerated in both upper and lower limbs with positive Hoffmann sign bilaterally and bilateral planter extensor response.All modalities of sensations were diminished up to C 4 vertebral level.MRI of cervical spine was obtained, and the diagnosis of cranio-cervical junction meningioma came out. Conclusion:After complete surgical removal (Simpson grade I) of the tumor, post-operative ICU management is very vital.Extubation and recovery may need long time to return to normal life.So pre-operative counseling and post-operative ICU support is mandatory to operate cranio-cervical junction meningioma.
Год издания: 2020
Авторы: Sukriti Das
Издательство: Lupine Publishers
Источник: Online Journal of Neurology and Brain Disorders
Ключевые слова: Meningioma and schwannoma management, Glioma Diagnosis and Treatment, Neurofibromatosis and Schwannoma Cases