A rare location: isolated multiple psammomatous meningiomas

A rare location: isolated multiple psammomatous meningiomas

ARTICLE IN PRESS The Spine Journal ■■ (2015) ■■–■■ Images of Spine Care A rare location: isolated multiple psammomatous meningiomas A 13-year-old gi...

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ARTICLE IN PRESS

The Spine Journal ■■ (2015) ■■–■■

Images of Spine Care A rare location: isolated multiple psammomatous meningiomas A 13-year-old girl presented to the neurosurgery clinic with progressive motor weakness and sensation disturbance. Magnetic resonance imaging revealed multiple intradural extramedullary mass at the cervicothoracal

region causing cord compression (Figs. 1 and 2). The lesions were hyperintense on T2-weighted (T2W) and hypointense on T1-weighted (T1W) images (Fig. 1). After injection of contrast agent, magnetic resonance imaging showed a homogenous enhancement in masses (Fig. 2). Pathologic specimens obtained at surgery showed psammomatous meningiomas. Isolated multiple spinal meningiomas are very rare but have been reported [1].

Fig. 1. Sagittal T2-weighted (T2W) (Left) and T1-weighted (T1W) (Right) magnetic resonance images of a 13-year-old girl. The mass was hypointense on T1W images and hyperintense on T2W images.

Fig. 2. Sagittal fat-satured T1-weighted (T1W) (Left) and contrast-enhanced T1W (Right) magnetic resonance images of a 13-year-old girl. http://dx.doi.org/10.1016/j.spinee.2015.11.025 1529-9430/© 2015 Elsevier Inc. All rights reserved.

ARTICLE IN PRESS 2

L. Karaca et al. / The Spine Journal ■■ (2015) ■■–■■

Reference [1] Jain SK, Sundar IV, Sharma V, Goel RS, Prasanna KL. Multiple spinal and cranial meningiomas: a case report and review of literature. Asian J Neurosurg 2015;10:132–4.

Leyla Karaca, MD Recep Sade, MD Ihsan Yüce, MD Hayri Ogul, MD Gulsüm Bayraktutan, MD Mecit Kantarci, MD, PhD

Department of Radiology Medical Faculty Ataturk University Istasyon Mah. Hekim Evler. Yakutiye 25100 Erzurum, Turkey

FDA device/drug status: Not applicable. Author disclosures: LK: Nothing to disclose. RS: Nothing to disclose. IY: Nothing to disclose. HO: Nothing to disclose. GB: Nothing to disclose. MK: Nothing to disclose.