Case Report: Rare presentation of spinal meningioma in Kosovo

This case report outlines the diagnosis and management of a spinal meningioma in an 18-year-old female presenting with progressive weakness in both lower limbs. Magnetic resonance imaging revealed an intradural extramedullary tumour compressing the spinal cord, subsequently confirmed as a meningioma. Urgent neurosurgical intervention was performed, involving total laminectomy at the TH6/7 vertebral level and meticulous tumour resection. Postoperatively, the patient demonstrated significant neurological improvement, with muscle strength increasing from 2/5 to 4/5. This case highlights the importance of prompt diagnosis, multidisciplinary management, and close postoperative monitoring in achieving favourable outcomes for spinal meningiomas.