Angiomatous Meningioma in the Craniocervical Junction
Introduction. Spinal angiomatous meningioma arising in the craniocervical junction has not been reported. Case Presentation. A 68-year-old man presented to our hospital with pain in the back and left leg. He showed slight motor weakness in his upper extremities. Magnetic resonance imaging revealed a...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6651160 |
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| author | Shunsuke Ito Yoichi Iizuka Masanori Aihara Hiromi Koshi Tokue Mieda Eiji Takasawa Sho Ishiwata Yusuke Tomomatsu Akira Honda Kazuhiro Inomata Hirotaka Chikuda |
| author_facet | Shunsuke Ito Yoichi Iizuka Masanori Aihara Hiromi Koshi Tokue Mieda Eiji Takasawa Sho Ishiwata Yusuke Tomomatsu Akira Honda Kazuhiro Inomata Hirotaka Chikuda |
| author_sort | Shunsuke Ito |
| collection | DOAJ |
| description | Introduction. Spinal angiomatous meningioma arising in the craniocervical junction has not been reported. Case Presentation. A 68-year-old man presented to our hospital with pain in the back and left leg. He showed slight motor weakness in his upper extremities. Magnetic resonance imaging revealed a mass with marked enhancement in the craniocervical junction. Computed tomography angiography showed feeding vessels arising from the right vertebral artery. Preoperative embolization of the feeding vessels was performed to reduce intraoperative bleeding. Gross total resection of the tumor was achieved by debulking and piecemeal resection. The tumor attachment to the dura mater was also resected (Simpson grade 1 resection). A histopathological examination confirmed the diagnosis of an angiomatous meningioma. The patient’s symptoms improved shortly after surgery. Conclusions. We achieved gross total resection of spinal angiomatous meningioma arising in the craniocervical junction. A preoperative evaluation and embolization of the feeding arteries may help prevent massive intraoperative bleeding. |
| format | Article |
| id | doaj-art-2fda9aa3402d442a90c148ed819fcf86 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-2fda9aa3402d442a90c148ed819fcf862025-02-03T01:21:26ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66511606651160Angiomatous Meningioma in the Craniocervical JunctionShunsuke Ito0Yoichi Iizuka1Masanori Aihara2Hiromi Koshi3Tokue Mieda4Eiji Takasawa5Sho Ishiwata6Yusuke Tomomatsu7Akira Honda8Kazuhiro Inomata9Hirotaka Chikuda10Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Neurosurgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanClinical Department of Pathology, Gunma University Hospital, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanIntroduction. Spinal angiomatous meningioma arising in the craniocervical junction has not been reported. Case Presentation. A 68-year-old man presented to our hospital with pain in the back and left leg. He showed slight motor weakness in his upper extremities. Magnetic resonance imaging revealed a mass with marked enhancement in the craniocervical junction. Computed tomography angiography showed feeding vessels arising from the right vertebral artery. Preoperative embolization of the feeding vessels was performed to reduce intraoperative bleeding. Gross total resection of the tumor was achieved by debulking and piecemeal resection. The tumor attachment to the dura mater was also resected (Simpson grade 1 resection). A histopathological examination confirmed the diagnosis of an angiomatous meningioma. The patient’s symptoms improved shortly after surgery. Conclusions. We achieved gross total resection of spinal angiomatous meningioma arising in the craniocervical junction. A preoperative evaluation and embolization of the feeding arteries may help prevent massive intraoperative bleeding.http://dx.doi.org/10.1155/2021/6651160 |
| spellingShingle | Shunsuke Ito Yoichi Iizuka Masanori Aihara Hiromi Koshi Tokue Mieda Eiji Takasawa Sho Ishiwata Yusuke Tomomatsu Akira Honda Kazuhiro Inomata Hirotaka Chikuda Angiomatous Meningioma in the Craniocervical Junction Case Reports in Orthopedics |
| title | Angiomatous Meningioma in the Craniocervical Junction |
| title_full | Angiomatous Meningioma in the Craniocervical Junction |
| title_fullStr | Angiomatous Meningioma in the Craniocervical Junction |
| title_full_unstemmed | Angiomatous Meningioma in the Craniocervical Junction |
| title_short | Angiomatous Meningioma in the Craniocervical Junction |
| title_sort | angiomatous meningioma in the craniocervical junction |
| url | http://dx.doi.org/10.1155/2021/6651160 |
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