臨床整形外科46巻10号

2011年10月発行

症例報告

馬尾に発生したclear cell meningiomaの1例

著者： 山﨑義人¹ 小野睦¹ 沼沢拓也¹ 和田簡一郎¹ 藤哲¹

所属機関： ¹弘前大学医学部整形外科

ページ範囲：P.983 - P.987

　馬尾に発生したclear cell meningiomaの1例を経験したので報告する．症例は23歳の男性で，両下肢筋力低下があり，MRIでL1からL5にかけて脊柱管内を占拠する腫瘍を認めた．腫瘍と硬膜との付着は認めず，全摘可能だった．病理診断はclear cell meningiomaでMIB-1 indexは15～18％だった．術後，症状は改善したが，再発の可能性を考え放射線治療を追加した．Clear cell meningiomaは再発の可能性があり，今後の経過観察が必要である．

参考文献

1) Alameda F, Lloreta J, Ferrer MD, et al:Clear cell meningioma of the lumbo-sacral spine with chordoid features. Ultrastruct Pathol 23:51-58, 1999

2) Carra S, Drigo S, Gardeman M, et al:Clear cell meningioma in a 22-month-old male. Pediatr Neurosurg 34:264-267, 2001

3) Carra S, Drigo S, Gardeman M, et al:Clear cell meningioma in a 22-month-old male:Update after five years. Pediatr Neurosurg 38:162-163, 2003

4) Colen CB, Rayes M, McClendon Jr J, et al:Pediatric spinal clear cell meningioma. Case report. J Neurosurg Pediatr 3:57-60, 2009

5) Douya H, Saegusa O, Saito M, et al:Cauda equine clear cell meningioma without dural attachment:report of two cases.千葉医学77:249-253, 2001

6) Dubois A, Sevely A, Boetto S, et al:Clear-cell meningioma of the cauda equina. Neuroradiology 40:743-747, 1998

7) Epstein NE, Drexler S, Schneider J:Clear cell meningioma of the cauda equina in an adult. J Spinal Disord 18:539-543, 2005

8) Gezen F, Kahraman S, Canakci Z, et al:Review of 36 cases of spinal cord meningioma. Spine 25:727-731, 2000

9) Hawng SL, Liu CS, Su YF et al:Giant nondural-based cauda equina meningioma with multiple cysts. J Neurooncol 74:173-177, 2005

10) Holtzman RNN, Jormark SC:Nondural-based lumbar clear cell meningioma. J Neurosurg 84:264-266, 1996

11) Jain D, Sharma MC, Sarkar C, et al:Clear cell meningioma an uncommon variant of meningioma:a clinicopathologic study of nine cases. J Neurooncol 81:315-321, 2007

12) Jallo GI, Kothbauer KF, Silvera VM, et al:Intraspinal clear cell meningioma:Diagnosis and management:Report of two cases. Neurosurgery 48:218-222, 2001

13) Manivel JC, Sung JM:Pathology of meningiomas. Annu Pathol 2:159-192, 1990

14) Matsui H, Kanamori M, Abe Y, et al:Multifocal clear cell meningioma in the spine. Neurosurg Rev 21:171-173, 1998

15) Murakami T, Imoto K, Takebayashi T, et al:Clear cell meningioma of cauda equina in a 10-year-old child. Tumor Res 36:33-38, 2001

16) Nakajima H, Uchida K, Kobayashi S, et al:Microsurgical excision of multiple clear cell meningiomas of the cauda equina:A case report. Minim Invas Neurosurg 52:32-35, 2009

17) Oviedo A, Pang D, Zovickian J, et al:Clear cell meningioma:Case report and review of the literature. Pediatr Dev Pathol 8:386-390, 2005

18) Payano M, Kondo Y, Kashima K, et al:Two cases of nondura-based clear cell meningioma of the cauda equina. APMIS 112:141-147, 2004

19) Park HC, Sohn MJ, Kim EY, et al:Spinal clear cell meningioma presented with progressive paraparesis in infanty. Childs Nerv Syst 16:607-610, 2000

20) Pimentel J, Fernandes A, Pinto AE, et al:Clear cell meningioma variant and clinical aggressiveness. Clin Neuropathol 17:141-146, 1998

21) 柴山美紀根，伊藤八峯，市原　薫・他：小児spinal clear cell meningiomaの1例．脳外誌 9:515-520, 2000

22) Scheithauer BW:Tumors of the meninges:proposed modifications of the World Health Organization classification. Acta Neuropathol 80:343-354, 1990

23) Wu T, Bian LJ, Li Z, et al:Clear cell meningioma with anaplastic features:Case report and review of literature. Pathol Res Pract 15:349-354, 2010

24) Zorludemir S, Scheithauer BW, Hirose T, et al:Clear cell meningioma. Am J Surg Pathol 19:493-505, 1995