HISTORY AND ADMISSION FINDINGS: A 70 year old @entity1 had suffered from @entity6 since she was 52. Three years before the surgery she had begun to experience @entity425 together with altered sensitivity in the right leg, which was regarded as having been caused by @entity3949 . During the admission examination the level for algesia on the right-hand side was at about D 11, a distal paraparesis of the leg (3-4 degrees, Janda's classification), more intense on the right, hyperactive deep tendon reflexes, Babinski's reflex on both sides, and depressed abdominal cutaneous reflexes. The sensitivity to vibrations on the Malleolus medialis on both sides was 0/8. The @entity1 could walk only with the help of a Rollator. INVESTIGATIONS: Over the three-year period following onset of symptoms the following tests were carried out: motor nerve conduction speeds of the N. tibialis and N. peronaeus, electromyogram of the N. tibialis anterior and the M. gastrocnemius, somatosensory evoked potentials (SSEP) of the N. tibialis, which indicated a lesion in the peripheral nerves or nerve roots. Cranial computed tomography (CCT), CT scan of the lumbar spine (L3-S1) and angiological investigation elicited no significant pathological findings. An MRI of the thoracal spine showed a vertebra-sized dorsal @entity5 pressing on the spinal cord from left to right. TREATMENT AND COURSE: By means of microsurgery the spinal @entity5 was completely removed. Suspected meningeoma was confirmed by histological analysis. During the post-surgical period, the incomplete @entity451 quickly regressed, and 7 weeks after the removal of the spinal meningeoma the @entity1 was able to climb stairs. CONCLUSION: In case of slowly-developing paresis of the legs in @entity6 @entity1 , @entity3949 should not be diagnosed without careful consideration, and rare @entity5 should be considered as part of the differential diagnosis, especially if the blood @entity413 level is normal, and intensive physiotherapy brings no improvement in the @entity1 's condition.

[Spinal meningioma as differential diagnosis of XXXX ].

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes mellitus type 2'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'spinal tumors'] @entity3949 :: ('MESH:D003929', 'Disease') :: ['diabetic polyneuropathy'] @entity425 :: ('MESH:D018908', 'Disease') :: ['weakness'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity3949 :: (MESH:D003929,Disease) :: ['diabetic polyneuropathy']
