多重顱內及脊椎腦膜瘤之罕見病例報告

Multiple Intracranial and Spinal Meningiomas: Management of This Rare Condition

同時合併有不只一個顱內及脊椎內腦膜瘤為罕見的病症。通常常見於第二型多發性神經纖維瘤的病人。我們提出一個66 歲女性多發性腦膜瘤的病例報告，同時發現有右側顱內腦膜瘤及胸椎腦膜瘤，以布朗－斯夸氏（半側脊髓損傷）症候群表現，入院接受胸椎腦膜瘤切除手術，無明顯症狀的顱內腦膜瘤則採取不手術、後續追蹤的方式，恢復良好於一周後出院。

 

Multiple intracranial and spinal meningiomas presenting concurrently is rare. In thispaper, we presented a case of meningiomatosis (right frontal meningioma and T4-5 spinal meningioma) and we also describe the clinical characteristics, imaging findings, and management plan. Approximately 1-10% of cases present multiple intracranial meningiomas that are usually associated with neurofibromatosis. Only some case reports of multiple intracranial and spinal meningiomas have been provided in the literature. Concurrent meningiomas are usually asymptomatic, and conservative treatment is considered. Determining which tumor is causing a patient’s symptoms and signs is crucial. In our experience, the asymptomatic lesion can be managed with conservative treatment and can be monitored until any focal sign presents or the tumor size increases.