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Case Report| Volume 16, ISSUE 12, P1660-1662, December 2009

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Immunohistochemical findings of multiple ossified en plaque meningiomas in the thoracic spine

      Abstract

      We describe a 76-year-old woman who presented with painful muscle weakness and numbness in both legs secondary to grossly ossified meningiomas at the T8 and T11–T12 vertebral levels. Midline durotomy followed by en bloc excision of the tumours, together with partial resection of the dura mater and the arachnoid, was performed. Histopathological examination showed both tumours consisted of three different histological patterns: psammomatous, fibrous, and metaplastic subtypes. Immunostaining for bone morphogenetic protein-2 and vascular endothelial growth factor was significantly positive in the areas surrounding mature bone tissues in the metaplastic and psammomatous subtypes.

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      References

        • Solero C.L.
        • Fornari M.
        • Giombini S.
        • et al.
        Spinal meningiomas: review of 174 operated cases.
        Neurosurgery. 1989; 25: 153-160
        • Levy Jr, W.J.
        • Bay J.
        • Dohn D.
        Spinal cord meningioma.
        J Neurosurg. 1982; 57: 804-812
        • Doita M.
        • Harada T.
        • Nishida K.
        • et al.
        Recurrent calcified spinal meningioma detected by plain radiograph.
        Spine. 2001; 26: 249-252
        • Pear B.L.
        • Boyd H.R.
        Roentgenographically visible calcifications in spinal meningioma.
        Am J Roentgenol Nucl Med. 1974; 120: 32-45
        • Sahni D.
        • Harrop J.S.
        • Kalfas I.H.
        • et al.
        Exophytic intramedullary meningioma of the cervical spinal cord.
        J Clin Neurosci. 2008; 15: 1176-1179
        • Rogers L.
        A spinal meningioma containing bone.
        J Br Surg. 1928; 15: 675-677
        • Niijima K.
        • Huang Y.P.
        • Malis L.I.
        • et al.
        Ossified spinal meningioma en plaque.
        Spine. 1993; 18: 2340-2343
        • Toribatake Y.
        • Baba H.
        • Kawahara N.
        • et al.
        The epiconus syndrome presenting with radicular-type neurological features.
        Spinal Cord. 1997; 35: 163-170
        • Kato K.
        • Chernov M.
        • Urino T.
        • et al.
        Ossified frontosphenoorbital meningioma en plaque, mimicking extensive hyperostosis.
        Minim Invasive Neurosurg. 2008; 51: 237-239
        • Messori A.
        • Rychlicki F.
        • Salvolini U.
        Spinal epidural en plaque meningioma with unusual pattern of calcification in a 14-year-old girl: case report and review of the literature.
        Neuroradiology. 2002; 44: 256-260
        • Kitagawa M.
        • Nakamura T.
        • Aida T.
        • et al.
        Clinicopathologic analysis of ossification in spinal meningioma.
        Brain Tumor Pathol. 1994; 11 ([Abstract in English]): 115-119
        • Kubota T.
        • Yamashima T.
        • Hasegawa M.
        • et al.
        Formation of psammoma bodies in meningocytic whorls. Ultrastructural study and analysis of calcified material.
        Acta Neuropathol (Berl). 1986; 70: 262-268
        • Yayama T.
        • Furusawa N.
        • Baba H.
        • et al.
        Calcium crystal deposition in the ligamentum flavum of the lumbar spine: role of sex hormones and transforming growth factor-β.
        Acta Histochem Cytochem. 2003; 36: 83-91
        • Yayama T.
        • Kobayashi S.
        • Sato R.
        • et al.
        Calcium pyrophosphate crystal deposition in the ligamentum flavum of degenerated lumbar spine: histopathological and immunohistological findings.
        Clin Rheumatol. 2008; 27: 597-604