Case History: A 55-year-old female presents with pain in cervical region radiating to bilateral upper limbs (right > left) for one year; also associated with tingling and numbness in both upper limbs.
55-year-old female presents with pain in cervical region radiating to bilateral upper limbs.
Figure 1. Lesion appears isointense on T1-weighted images [(a) axial, (b) sagittal] and exhibits intense enhancement on contrast administration [(c) axial, (d) sagittal]. The lesion encircled the dura matter with intervertebral foramen extension. It was seen as a homogeneous enhancement immediately after administration of gadolinium.
Figure 2. Lesion appears hyperintense on T2WI images [(a,b) axial, (c) sagittal].
Diagnosis: En plaque meningioma in dorsal spine
Altered signal intensity is also noted involving transverse process of D5 vertebral body on the right side.
Meningiomas are the second most common intraspinal tumors and usually arise from the intradural extramedullary space and located in the thoracic region of the spine.
The dural attachment stalk is an essential component for the diagnosis.
