Exophytic intramedullary meningioma of the cervical spinal cord

intramedullary spinal cord neoplasms are relatively uncommon. The most common intramedullary tumors are astrocytomas and ependymomas. Meningiomas can Occur as an intradural tumor; however, they are typically in the extramedullary compartment. A 42-year-old male presented with progressive sensory loss in the Upper extremities and lower extremity weakness. Pre-operative imaging Suggested an intramedullary cervical lesion. To treat the progressive neurological abnormality, surgical resection was planned. At Surgery it was noted that the tumor originated ill the cervical spinal cord and extended into the extramedullary region. Histology continued the lesion to be a meningioma. This meningioma variant has not previously been described. Spinal meningiomas may Occur in locations other than intradural, extramedullary locations, and should be included in the differential diagnosis of intramedullary lesions. Intramedullary meningiomas call be Successfully treated with surgery. (C) 2007 Elsevier Ltd. All rights reserved.