: Sclerosing meningiomas (SMs) represent a rare histological variant of meningiomas, first described in 1989 as invasive bulking masses of whorling collagen bundles with a minimum percentage of meningothelia-resembling cells, and they are often misdiagnosed. The literature reports only 30 cases of SMs, with only two of them being intramedullary. The authors present the case of a patient with a cervical intramedullary SM who presented with gait disturbances, sensory deficits, weakness in four extremities, and hyperreflexia. The surgery was performed under neurophysiological monitoring and after administration of sodium fluorescein, which allowed us to discriminate the exact myelotomy point. Intramedullary SMs are very rare entities whose correct management may result in a good outcome.

Intramedullary sclerosing meningioma: operative video / Garufi, Giada; Ricciardo, Giuseppe; Conti, Alfredo; Cardali, Salvatore Massimiliano. - In: NEUROSURGICAL FOCUS: VIDEO. - ISSN 2643-5217. - ELETTRONICO. - 9:2(2023), pp. V10.1-V10.3. [10.3171/2023.7.FOCVID2385]

Intramedullary sclerosing meningioma: operative video

Conti, Alfredo;
2023

Abstract

: Sclerosing meningiomas (SMs) represent a rare histological variant of meningiomas, first described in 1989 as invasive bulking masses of whorling collagen bundles with a minimum percentage of meningothelia-resembling cells, and they are often misdiagnosed. The literature reports only 30 cases of SMs, with only two of them being intramedullary. The authors present the case of a patient with a cervical intramedullary SM who presented with gait disturbances, sensory deficits, weakness in four extremities, and hyperreflexia. The surgery was performed under neurophysiological monitoring and after administration of sodium fluorescein, which allowed us to discriminate the exact myelotomy point. Intramedullary SMs are very rare entities whose correct management may result in a good outcome.
2023
Intramedullary sclerosing meningioma: operative video / Garufi, Giada; Ricciardo, Giuseppe; Conti, Alfredo; Cardali, Salvatore Massimiliano. - In: NEUROSURGICAL FOCUS: VIDEO. - ISSN 2643-5217. - ELETTRONICO. - 9:2(2023), pp. V10.1-V10.3. [10.3171/2023.7.FOCVID2385]
Garufi, Giada; Ricciardo, Giuseppe; Conti, Alfredo; Cardali, Salvatore Massimiliano
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/956421
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