MENINGIOMA-CERVICAL SPINE

MyPACS.net: Radiology Teaching Files > Case 4424148

MENINGIOMA-CERVICAL SPINE

Contributed by: Fritsch & Thompson, Radiologist, Diagnostic Radiology of Houston, Texas, USA.

Patient: 49 year old female

History: 49 year old female with headaches, neck and shoulder pain. Rule out disc herniation. History of MVA one month prior.

Images:

[small]

larger


Fig. 1: AP Cervical


Fig. 2: Lateral Cervical


Fig. 3: AP Open Mouth Cervical


Fig. 4: LPO Cervical


Fig. 5: RPO Cervical


Fig. 6: T2 Sagittal without contrast


Fig. 7: T2 Sagittal without contrast


Fig. 8: T1 Sagittal


Fig. 9: T1 Sagittal


Fig. 10: T1 Axial without contrast


Fig. 11: T2* GRE Axial - without contrast


Fig. 12: T1 Sagittal post contrast injection


Fig. 13: T1 Sagittal post contrast injection


Fig. 14: T1 axial post contrast injection


Fig. 15: T1 Coronal Fatsat post contrast injection


Fig. 16: T1 Coronal Fatsat post contrast injection

Findings: XRays:
Mild degenerative changes. Otherwise negative.

MRI without contrast:
Within the spinal canal at the level of the C2-3 disc, there is an ovoid mass measuring approximately 1.1 cm x 0.9 cm x 1.3 cm. This mass shows isointense T1 and T2 characteristics relative to the neurological tissue. The mass is in the left posterolateral position of the spinal canal and has an extradural appearance given the mild compression on the left dorsolateral aspect of the spinal cord. It appears to have a base in the posterior margin of the C2 lamina. It begins to project into the left neural foramen.

MRI with contrast:

MRI of the cervical spine with contrast was performed for assessment of an intradural, extramedullary mass within the spinal canal at the C2-3 level. This mass showed prominent enhancement and has a round configuration. It shows diffuse homogeneous enhancement and is positioned in the left posterolateral margin of the spinal canal. It measures approximately 1.1 x 1.2 x 1.3 cm. The base of the mass is positioned on the posterior margin of the dura and lamina of C2 on the left and extends into the spinal canal by approximately 1.1 cm. It results in compression upon the left lateral margin of the spinal cord. The characteristics of this mass are compatible with an intradural, extramedullary mass. Additionally, there is a dural tail noted on the axial and coronal images. This mass most likely represents a meningioma.

Diagnosis:

INTRADURAL, EXTRAMEDULLARY ROUND MASS AT THE C2-3 LEVEL POSITIONED IN THE LEFT POSTEROLATERAL ASPECT OF THE SPINAL CANAL MEASURING APPROXIMATELY 1.1 X 1.2 X 1.3 CM AND SHOWING MARKED DIFFUSE ENHANCEMENT WITH AN ASSOCIATED DURAL TAIL. THIS MOST LIKELY REPRESENTS A MENINGIOMA.

References: Referring Physician: Michiel Rorick, DC

Comments:

No comments posted.

Additional Details:

Case Number: 4424148Last Updated: 05-30-2007
Anatomy: Spine and Peripheral Nervous System Pathology: Neoplasm
Modality: Conventional Radiograph, MRExam Date: 04-10-2006Access Level: Readable by all users
Keywords: meningioma cervical spine

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please contact us.