Paraplegia due to missed thoracic meningioma after lumbar spinal decompression surgery: A case report and review of the literature

Year 2014, , 210 - 213, 01.03.2014

Mehtap Bozkurt Cuneyt Gocmez Mehmet Okcu Gul Turkcu Serda Em Pelin Oktayoglu Demet Ucar Kemal Nas

https://doi.org/10.5798/diclemedj.0921.2014.01.0401

Cited By: 1

Abstract

Spinal meningiomlar genellikle torakal seviyede localize olurlar ve kliniği kitlenin bulunduğu yere göre değişir. Çalışmamızda lomber spinal dekopresyon cerrahisi sırasında tespit edilmeyen ve paraplejiye sebep olan torakal spinal kord tümörü (meningioma) vakasını sunuyoruz. Hastada manyetik rezonans görüntüleme ile T2-3 düzeyinde torakal kitle saptandı. Hasta yeniden ameliyat edildi ve hastanın nörolojik semptomlar kısmen düzeldi. Cerrahlar, semptomsuz bir torakal menenjiomanın lomber spinal dekompresyon cerrahisi sonrası hastanın nörolojik semptomlarını şiddetlendirebileceğini bilmeleri ve ameliyat öncesi hastalarını bilgilendirmeleri gerekmektedir.

Keywords

Lomber cerrahi, meningioma, torasik parapleji

Paraplegia due to missed thoracic meningioma after lumbar spinal decompression surgery: A case report and review of the literature

Abstract

Spinal meningiomas are often localized to the thoracic level and symptoms from a spinal meningioma are determined by the location of the mass. We present a case of thoracic paraplegia due to a thoracic spinal cord tumor (meningioma) that was not detected during lumbar spinal decompressive surgery. Thoracic mass was detected in level of T2-3 on magnetic resonance imaging (MRI). The patient was re-operated and the patient's neurologic symptoms were partially relieved. Surgeons should know that a thoracic silent meningioma can aggrevate neurological symptoms after lumbar spinal decompression surgery and should inform their patient before surgery.

Keywords

Lumbar surgery, meningioma, thoracic paraplegia

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