{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:31:48Z","timestamp":1758043908070,"version":"3.44.0"},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spinal meningiomas account for 25% of spinal tumors, with the majority being intradural neoplasms. Extradural spinal meningiomas, however, represent only 2\u20133.5% of cases. These tumors tend to be more aggressive, often invading neural structures, particularly the brachial plexus. This results in faster progression, higher recurrence rates, and challenges in achieving complete resection.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 52-year-old male presented with right-hand muscle hypotrophy and motor deficits. Magnetic resonance imaging (MRI) revealed a large extradural mass from C7 to D3, compressing neural structures. Surgical resection was performed, and histopathology confirmed a World Health Organization Grade I meningothelial meningioma. Postoperative follow-up showed significant neurological improvement, and control MRI confirmed optimal decompression of the spinal cord and neural structures.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Extradural spinal meningiomas are rare and challenging to treat due to their invasive nature. Surgical resection with decompression, combined with adjuvant therapies like radiotherapy, is crucial for managing residual disease and improving long-term outcomes. A multidisciplinary approach is essential to optimize patient recovery and quality of life.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_840_2025","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T08:07:43Z","timestamp":1757664463000},"page":"392","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Giant cervicothoracic extradural meningioma involving the brachial plexus: A case report"],"prefix":"10.25259","volume":"16","author":[{"given":"Carlo","family":"Mandelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cinzia","family":"Mura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Mortini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"10.25259\/SNI_840_2025\/ref-1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.neuchi.2010.05.004","article-title":"Cervical spinal extradural meningioma: Case report","volume":"56","author":"Benzagmout","year":"2010","journal-title":"Neurochirurgie"},{"key":"10.25259\/SNI_840_2025\/ref-2","first-page":"1375","article-title":"Tumors of the peripheral nerves","volume-title":"Neurology and clinical neuroscience","author":"Birch","year":"2006"},{"key":"10.25259\/SNI_840_2025\/ref-3","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/2152-7806.188914","article-title":"Dorsal extradural meningioma: Case report and literature review","volume":"7","author":"Dehcordi","year":"2016","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_840_2025\/ref-4","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1080\/10790268.2008.11760727","article-title":"Cervical extradural meningioma: Case report and literature review","volume":"31","author":"Frank","year":"2008","journal-title":"J Spinal Cord Med"},{"key":"10.25259\/SNI_840_2025\/ref-5","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1017\/cjn.2021.120","article-title":"Extradural spinal meningioma mimicking a schwannoma: Magnetic resonance imaging findings","volume":"49","author":"Garaud","year":"2022","journal-title":"Can J Neurol Sci"},{"key":"10.25259\/SNI_840_2025\/ref-6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3892\/etm.2024.12493","article-title":"Unusual clinical presentation of cervical extradural meningioma detected with neuromuscular ultrasound: A case report","volume":"27","author":"Hsieh","year":"2024","journal-title":"Exp Ther Med"},{"key":"10.25259\/SNI_840_2025\/ref-7","first-page":"26","article-title":"MRI classification and discrimination of spinal schwannoma and meningioma based on deep learning","volume":"33","author":"Liu","year":"2025","journal-title":"J Xray Sci Technol"},{"key":"10.25259\/SNI_840_2025\/ref-8","first-page":"126","article-title":"Extradural spinal meningiomas. Report of two cases","volume":"26","author":"Milz","year":"1983","journal-title":"Neurochirurgia (Stuttg)"},{"key":"10.25259\/SNI_840_2025\/ref-9","doi-asserted-by":"crossref","first-page":"E326","DOI":"10.1093\/neuros\/nyz549","article-title":"The risk of peripheral nerve tumor biopsy in suspected benign etiologies","volume":"86","author":"Perez-Roman","year":"2020","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_840_2025\/ref-10","doi-asserted-by":"crossref","first-page":"994.e7","DOI":"10.1016\/j.wneu.2017.09.004","article-title":"Cervical en-plaque extradural meningioma involving the brachial plexus: Case report","volume":"108","author":"Sivaraju","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_840_2025\/ref-11","first-page":"107","article-title":"Massive growth of a meningioma into the brachial plexus and thoracic cavity after intraspinal and supraclavicular resection. Case report and review of the literature","volume":"96","author":"Smith","year":"2002","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_840_2025\/ref-12","doi-asserted-by":"crossref","first-page":"33","DOI":"10.25259\/SNI_1124_2024","article-title":"A case of cervical epidural meningioma with atypical image findings","volume":"16","author":"Yokosako","year":"2025","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_840_2025\/ref-13","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1007\/s11547-019-00988-z","article-title":"Differentiation between intraspinal schwannoma and meningioma by MR characteristics and clinic features","volume":"124","author":"Zhai","year":"2019","journal-title":"Radiol Med"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/giant-cervicothoracic-extradural-meningioma-involving-the-brachial-plexus-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/giant-cervicothoracic-extradural-meningioma-involving-the-brachial-plexus-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T08:07:45Z","timestamp":1757664465000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/giant-cervicothoracic-extradural-meningioma-involving-the-brachial-plexus-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,12]]},"references-count":13,"alternative-id":["10.25259\/SNI_840_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_840_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,12]]},"article-number":"392"}}