Meningioma is a slow-growing benign tumor commonly found in females. The most common location for spinal meningiomas is the thoracic spine. Less frequently these tumors may be detected in the cervical region. The tumors are often attached to the dura, the nerve roots, or spinal cord.

Clinical Presentation

Meningiomas usually present in the fifth or sixth decades, mostly in women. Patients may present with progressive gait dysfunction due to myelopathy, sensory changes, back pain, and, less frequently, sphincter dysfunction. Physical examination may detect long tract signs, mainly hyper-reflexia. Occasionally weakness in the lower extremities is documented.

Imaging Studies

Plain films may show the tumor only when it is heavily calcified. Meningiomas can be easily overlooked on CT scan when they are

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