A case of cylindrical spinal meningioma is reported. This most unusual
morphology suggested a preoperative diagnosis of either lymphoma, met
astatic epidural tumor, or meningioma. At operation, the tumor was fou
nd to be hard and extremely adherent to the cord, so its anterior part
had to be left in place. Transient paraplegia was observed postoperat
ively, but the patient recovered normal stance and gait within 6 month
s. Three years after the operation, magnetic resonance imaging demonst
rated a very slow progression of the remaining tumor with an estimated
increase of 5%. The differential diagnosis of this lesion by magnetic
resonance, its clinical postoperative evolution, and the surgical str
ategy are discussed.