{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:24Z","timestamp":1756339584106,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,7,4]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Craniocervical spine meningiomas are rare. They often present with non-specific motor or sensory symptoms. Presenting symptoms can include gait ataxia, radiculopathy, myelopathy, back pain and sensory deficits. Spinal meningiomas are slow-growing tumours, with an insidious onset. Due to the critical location of craniocervical meningiomas, severe symptoms such as respiratory distress and quadriparesis are possible. We describe the clinical presentation of a craniocervical junction meningioma, its relevant neuroimaging findings, diagnostic challenges and management. A woman in her 30s presented with a subacute onset of neck pain, headaches, paresthesia and a Hoffman\u2019s sign of the left upper extremity. A cervical spine MRI revealed an intradural extramedullary craniocervical junction meningioma involving the C1 segment with cord compression. The tumour measured 1.4\u00d72\u00d72.2\u2009cm. A mid-line suboccipital craniectomy, tumour resection (Simpson grade II) with cervical laminectomy, and dural grafting were completed for definitive management. A brief literature review was conducted yielding a total of 24 cases.<\/jats:p>","DOI":"10.1136\/bcr-2023-255544","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T10:31:17Z","timestamp":1689157877000},"page":"e255544","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Craniocervical junction intradural extramedullary meningioma with cord compression"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5301-4102","authenticated-orcid":false,"given":"Bahadar S","family":"Srichawla","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hande","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wissam","family":"Deeb","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"2025082711335451000_16.7.e255544.1","doi-asserted-by":"publisher","DOI":"10.1093\/nop\/npaa049"},{"key":"2025082711335451000_16.7.e255544.2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27390"},{"key":"2025082711335451000_16.7.e255544.3","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1016\/j.surneu.2007.09.013","article-title":"Surgical management of anterior Clinoidal Meningiomas: a 26-case report","volume":"68 Suppl 2","author":"Cui","year":"2007","journal-title":"Surg Neurol"},{"key":"2025082711335451000_16.7.e255544.4","doi-asserted-by":"crossref","DOI":"10.3171\/foc.2003.14.6.10","article-title":"Foramen Magnum Meningiomas: concepts, classifications, and nuances","volume":"14","author":"Boulton","year":"2003","journal-title":"Neurosurg Focus"},{"key":"2025082711335451000_16.7.e255544.5","doi-asserted-by":"crossref","unstructured":"Schwartz TH , McDermott MW . The Simpson grade: abandon the scale but preserve the message. J Neurosurg 2020:1\u20138. doi:10.3171\/2020.6.JNS201904","DOI":"10.3171\/2020.6.JNS201904"},{"key":"2025082711335451000_16.7.e255544.6","doi-asserted-by":"crossref","first-page":"651","DOI":"10.4103\/ajns.AJNS_273_16","article-title":"Far-lateral Transcondylar approach to anterior Foramen Magnum lesions - our experience","volume":"13","author":"Pai","year":"2018","journal-title":"Asian J Neurosurg"},{"key":"2025082711335451000_16.7.e255544.7","first-page":"95","article-title":"Far lateral Transcondylar approach: dimensional anatomy","volume":"45","author":"Dowd","year":"1999","journal-title":"Neurosurgery"},{"key":"2025082711335451000_16.7.e255544.8","doi-asserted-by":"crossref","first-page":"4","DOI":"10.32474\/OJNBD.2020.04.000198","article-title":"Cranio-Cervical junction meningioma: A rare case report","volume":"4","author":"Das","year":"2020","journal-title":"OJNBD"},{"key":"2025082711335451000_16.7.e255544.9","doi-asserted-by":"publisher","DOI":"10.4103\/0974-8237.110127"},{"key":"2025082711335451000_16.7.e255544.10","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2021.666699","article-title":"Case report: A case series using natural anatomical gaps-posterior Cervical approach to skull base and upper Craniocervical Meningiomas without bone removal","volume":"8","author":"Lilla","year":"2021","journal-title":"Front Surg"},{"key":"2025082711335451000_16.7.e255544.11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0153405","article-title":"Meninigiomas of the Craniocervical junction--A distinctive subgroup of Meningiomas","volume":"11","author":"D\u00fchrsen","year":"2016","journal-title":"PLoS One"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:34:06Z","timestamp":1756319646000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7,12]]},"published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1136\/bcr-2023-255544"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255544","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}