Intramedullary Sclerosing Meningioma in Meningiomatosis: Case Report and Review of the Literature

A B S T R A C T

Sclerosing meningioma is a rare histological variant of meningioma, first described in the literature by Davidson and Hope in 1989 as an invasive bulking mass consisted of whorling collagen bundles with a minimum percentage of meningothelial resembling cells [1]. The literature showed very rare cases of the intramedullary location of sclerosing meningiomas: in our opinion, it is mandatory to describe its clinical, surgical, histological and immunohistochemical features in order to reach the best final outcome. Sclerosing meningiomas are often misdiagnosed because of their invasive behaviour: it does require a correct diagnosis in order to prevent unnecessary postoperative treatment. Literature reports only 30 cases of sclerosing meningiomas and only 2 of them are intramedullary. We present the case of a cervical intramedullary sclerosing meningioma presenting with gait disturbances, sensory deficits, four extremities weakness and hypereflexia in a patient with the history of meningiomatosis.

Keywords

Intramedullary tumor, meningioma, whorling-sclerosing

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Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Thu 30, Sep 2021
Accepted: Sat 16, Oct 2021
Published: Fri 12, Nov 2021

Copyright

© 2023 Giada Garufi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.11.02

Author Info

S Cardali Giada Garufi G Ricciardo

Corresponding Author

Giada Garufi
Department of Neurosurgery, A.O. Papardo, University of Messina, Messina, Italy

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References

1.     Davidson GS, Hope JK (1989) Meningeal tumors of childhood. Cancer 63: 1205-1210. [Crossref]

2.     Cömert D, Tosuner Z, Hatiboglu MA (2019) A rare case of sclerosing meningioma with immunohistochemical features. Br J Neurosurg 1-2. [Crossref]

3.     Kang H, Kim JW, Se YB, Dho YS, Choi SH et al. (2016) Sclerosing Meningioma: Radiological and Clinical Characteristics of 21 Cases. J Korean Neurosurg Soc 59: 584-589. [Crossref]

4.     Eghbal K, Dehghanian A, Ghaffarpasand F (2018) Whorling-Sclerosing Variant Meningioma of the Spine: Surgical Management and Outcome of an Extremely Rare Case. Spine (Phila Pa 1976) 43: E1422-E1425. [Crossref]

5.   Perven G, Entezami P, Gaudin D (2015) A rare case of intramedullary ‘whorling-sclerosing’ variant meningioma. Springerplus 4: 318. [Crossref]