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Dorsal Psammomatous Meningioma Revealed by Sciatica Case Report
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作者 Daouda Wague Maguatte Gaye +3 位作者 Cheikh Ndiaye Sy Mouhamet Cisse Souleymane Diallo Youssouf Sakho 《Open Journal of Orthopedics》 2021年第5期164-169,共6页
<span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Introduction</span></b></span><span><span><span style="font-family:&... <span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Introduction</span></b></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: Meningiomas are benign tumors most localized in brain. Intraspinal meningiomas are rare and may have an intra or extradural topography. We report the case of a dorsal psammomatous meningioma revealed by sciatica. </span><b><span style="font-family:Verdana;">Case description</span></b><span style="font-family:Verdana;">: We present a 58-year-old female hospitalized for bilateral painful and disabling L5 sciatica rebellious to medical treatment and physiotherapy. At physical examination, she presented a lumbar spinal syndrome without root deficit. MRI</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">(Magnetic Resonance Imaging) showed a borderline lumbar canal with a paramedian L4-L5 herniated disc. She undergone a first surgery a L4 decompressive laminectomy and there </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">was</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> no postoperative complications. The follow-up was marked by partial pain regression. Three months later, after a fall she presented low back pain and progressive worsening gait troubles. A MRI was realized and shown L3-L4, L4-L5 duct narrowing. A second surgery a L3 and L5 decompressive laminectomy was performed. The postoperative follow up </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">was</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> characterized</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">by the worsening of the motor deficit to 2/5 associated with brisk osteotendinous reflexes. A medullary MRI was realized, showing an intradural but extra-medullary compressive lesion facing D1-D2.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The indication of tumor removal was made and complete resection was performed.</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">She totally recovered from the deficit and the pain. The pathology report showed a psammomatous meningioma. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">This case report emphasizes the atypical clinical presentation of spinal meningiomas and the importance of a meticulous neurological examination to avoid misdiagnosis. 展开更多
关键词 MENINGIOMA DORSAL SCIATICA Psammomatous
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