Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s
The most common tumors located in the thoracic segment of the spinal cord are spinal meningiomas and schwannomas. Meningiomas arising from the sheaths of the spinal cord represent about 20% of all benign tumors of the spinal canal. Second place is occupied by metastases, which mainly affect bone str...
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2025-04-01
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| Series: | Acta Medica Bulgarica |
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| Online Access: | https://doi.org/10.2478/amb-2025-0019 |
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| author | Bechev K. Markov D. Markov G. |
| author_facet | Bechev K. Markov D. Markov G. |
| author_sort | Bechev K. |
| collection | DOAJ |
| description | The most common tumors located in the thoracic segment of the spinal cord are spinal meningiomas and schwannomas. Meningiomas arising from the sheaths of the spinal cord represent about 20% of all benign tumors of the spinal canal. Second place is occupied by metastases, which mainly affect bone structures and much less often – the spinal cord. Meningiomas are predominantly intradural extramedullary tumor formations, although some rare cases of extradural spinal meningiomas have been described in the literature. The World Health Organization divides these tumors into three grades according to their malignancy, which include 15 histological subtypes of meningiomas with a predominantly benign course of development. The psammomatous meningioma belongs to grade I with a benign course and its total extirpation leads to a good ten-year tumor control. Meningiomas are typically slow-growing tumors that commonly present clinically after the fifth decade of life, with a higher prevalence in female patients. The occurrence of thoracic meningiomas in younger individuals, particularly in the second and third decades is often associated with neurofibromatosis. In this report, we describe a female patient in her 30’s with a one-year history of back pain radiating along the ribs, accompanied by progressive lower limb weakness and sensory disturbances over the past 30 days. The clinical complaints and the performed imaging diagnostics show the presence of an intradural, extramedullary tumor formation located at the level of TH5-TH6 vertebral projections and occupying more than 60% of the spinal canal. The treatment consists in total tumor extirpation by means of microneurosurgical technique and histological verification of the process. Subsequent radiotherapy for resected Simpson grade II spinal meningiomas and for psamoma variant of meningioma is not recommended. Clinical monitoring using magnetic resonance imaging is the gold standard for controlling tumor growth. |
| format | Article |
| id | doaj-art-e65a223b13af4aa3bc2eeca3eb3e852f |
| institution | Kabale University |
| issn | 2719-5384 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Acta Medica Bulgarica |
| spelling | doaj-art-e65a223b13af4aa3bc2eeca3eb3e852f2025-08-20T03:48:23ZengSciendoActa Medica Bulgarica2719-53842025-04-0152s1172310.2478/amb-2025-0019Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’sBechev K.0Markov D.1Markov G.21University Hospital Pulmed – Plovdiv, Bulgaria2General and Clinical Pathology, Medical University – Plovdiv, Bulgaria3Medical Faculty, Medical University – Plovdiv, BulgariaThe most common tumors located in the thoracic segment of the spinal cord are spinal meningiomas and schwannomas. Meningiomas arising from the sheaths of the spinal cord represent about 20% of all benign tumors of the spinal canal. Second place is occupied by metastases, which mainly affect bone structures and much less often – the spinal cord. Meningiomas are predominantly intradural extramedullary tumor formations, although some rare cases of extradural spinal meningiomas have been described in the literature. The World Health Organization divides these tumors into three grades according to their malignancy, which include 15 histological subtypes of meningiomas with a predominantly benign course of development. The psammomatous meningioma belongs to grade I with a benign course and its total extirpation leads to a good ten-year tumor control. Meningiomas are typically slow-growing tumors that commonly present clinically after the fifth decade of life, with a higher prevalence in female patients. The occurrence of thoracic meningiomas in younger individuals, particularly in the second and third decades is often associated with neurofibromatosis. In this report, we describe a female patient in her 30’s with a one-year history of back pain radiating along the ribs, accompanied by progressive lower limb weakness and sensory disturbances over the past 30 days. The clinical complaints and the performed imaging diagnostics show the presence of an intradural, extramedullary tumor formation located at the level of TH5-TH6 vertebral projections and occupying more than 60% of the spinal canal. The treatment consists in total tumor extirpation by means of microneurosurgical technique and histological verification of the process. Subsequent radiotherapy for resected Simpson grade II spinal meningiomas and for psamoma variant of meningioma is not recommended. Clinical monitoring using magnetic resonance imaging is the gold standard for controlling tumor growth.https://doi.org/10.2478/amb-2025-0019spinal meningiomasspinal cordinferior paraparesishistology of meningiomasthoracic spinal segmentintradural extramedullary tumorsneurofibromatosis |
| spellingShingle | Bechev K. Markov D. Markov G. Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s Acta Medica Bulgarica spinal meningiomas spinal cord inferior paraparesis histology of meningiomas thoracic spinal segment intradural extramedullary tumors neurofibromatosis |
| title | Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s |
| title_full | Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s |
| title_fullStr | Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s |
| title_full_unstemmed | Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s |
| title_short | Thoracic Meningioma Presenting with Progressive Lower Paraparesis in a Female Patient in Her 30’s |
| title_sort | thoracic meningioma presenting with progressive lower paraparesis in a female patient in her 30 s |
| topic | spinal meningiomas spinal cord inferior paraparesis histology of meningiomas thoracic spinal segment intradural extramedullary tumors neurofibromatosis |
| url | https://doi.org/10.2478/amb-2025-0019 |
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