Abstract
Meningiomas were named by Harvey Cushing in 1922 and described as common tumors that arise from arachnoid cap cells...
Highlights
Meningiomas were named by Harvey Cushing in 1922 and described as common tumors that arise from arachnoid cap cells which form the outer lining of the arachnoid membrane and from related cells such as arachnoid fibroblasts and the meningoblast [1,2,3]
Cranio-cervical junction meningioma accounts for 1.8%-3.2% of all meningiomas [5]
The patient was diagnosed as a case of spastic quadriplegia due to cranio-cervical junction meningioma
Summary
Surgical management of cranio-cervical junction meningioma is a challenge to neurosurgeons especially in case of tumors involving neighboring neurovascular structures. Our case had quadriplegia with autonomic disturbances but no vertebral artery encasement or cranial nerve palsy. Though cranio-spinal tumor presents lately and becomes large in size at the time of diagnosis and usually involves surrounding neurovascular elements, it is very difficult to perform complete resection with high rate of post-operative complications. We are happy to say that in our case, we performed complete resection of the tumor without any neurovascular complication. Functional outcome was good (the patient became able to walk with support at 2 months following surgery) with significant improvement of sphincter dysfunction and sensory symptoms
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