• 60+ year old lady with a new onset of pain in the left buttock a year before presentation. She described this as an ache with burning and numbness, which was bothering her mostly in the evenings. Patient would wake up due to pain.
  
  
• On examination, she had no focal neurological deficit.

MRI scan of the patient’s lumbar spine shows a large intradural extramedullary tumor at L1 and L2 level compressing the spinal nerve roots.

• She underwent an L1 and L2 laminectomy with surgical resection of this tumor using computer navigation, stereotaxy, and intra-operative neurophysiological monitoring.

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Pathology

 

H&E Stain The pathology of the tumor revealed angiomatoid meningioma.

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Post-op Imaging

Before Operation                                     After Operation

Post-op MRI shows complete resection of the tumor.

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Post-op Course

• The patient did well postoperatively and was discharged home and her nightly pain was resolved.