A thoracal radiculopathy as the only presenting sign of a meningioma

Article type: Case Report

Authors: Renders, Karolien J.^{a; *} | Van Wambeke, Peter^{a; b} | Peers, Koenraad H.^a | Morlion, Bart J.^{b; c}

Affiliations: [a] Department of Physical Medicine and Rehabilitation, University Hospitals Leuven, Belgium | [b] The Centre for Algology, University Hospitals Leuven, Belgium | [c] Department of Anesthesiology, University Hospitals Leuven, Belgium

Correspondence: [*] Address for correspondence: Karolien Renders, Centre de traumatology and réadaptation, Place Van Gehuchten 4, 1020 Bruxelles, Belgium. Tel.: +32 2 475 12 11; Fax: +32 2 475 12 12; E-mail: Karolien_renders@hotmail.com

Abstract: Meningioma mostly present with localised pain associated with signs of spinal cord compression. We present a case of a 72 year old woman with a thoracal meningioma with an atypical manifestation: radicular thoracal pain with signs of mechanical hyperalgesia and allodynia without any signs of spinal cord compression. Diagnosis was made by MRI-scan of the dorsal spine. After neurosurgical resection there was a complete recovery. We like to stress the importance of providing detailed information on clinical cases, especially with an atypical manifestation. We review the literature published on meningioma and discuss the most important symptoms and signs.

DOI: 10.3233/BMR-2008-21109

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 21, no. 1, pp. 63-65, 2008