Extradural lesions are the most commonly encountered metastatic neoplasms. Extradural meningiomas account for 2.7 to 10 % of spinal neoplasms and they are found most often in the thoracic spine. A 60-year-old woman presented to us with non-spesific cervical pain for one year. Magnetic resonance imaging of her cervical spine revealed an contrast-enhanced epidural mass extending from C1 to C2 with spinal cord displacement and compression. Computerized tomography of the chest, abdomen, and pelvis revealed no systemic disease. Due to the lesion’s unusual signal characteristics and location, an open complete surgical biopsy was performed Histo-pathologic diagnosis of the lesion was meningioma. Surgical decompression of the spinal cord and nerve roots was then performed. The tumor was totally removed without any evidence of complications. Meningiomas should be considered in the differential diagnosis of contrast-enhancing lesions in the cervical spine.

Keywords: Meningioma, extradural tumor, surgery, cervical