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2008 | 3 | 3 | 322-326
Tytuł artykułu

Spinal meningiomas: Clinical and therapeutic tonsiderations

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Meningiomas of the spinal canal are rare, in contrast to their cranial counterparts. This study reports on the dominant features of spinal meningiomas before and after treatment. We treated 30 patients (23 female) with meningiomas of the spinal canal from 1992 to 2003. The mean age was 68 (range: 43–91). Upon admission, 26 patients presented with a marked neurological deficit (11 paraparesis, 9 motor weakness, 4 myelopathic ataxia, 1 quadriplegia, and 1 cauda equina syndrome). Two patients had sensory deficits, and two had pain only. The distribution of the tumors was as follows: 8 cases were cranio-cervical, 1 case was cervical, 6 cases were at the cervico-thoracic junction, 9 cases were of the thoracic spine, 5 cases were of the thoracolumbar spine, and 1 case was of the lumbar spine. Five cases also had intracranial manifestations. The mean interval between the onset of the first symptoms and treatment was 12 months. All cases were treated via (hemi)-laminectomy for complete removal of the tumor and occasionally via duraplasty. After a mean follow-up of 3 years, symptoms had improved by 3 points (on a 5-point scale) in 3 cases, by 2 points in 7 cases, and by 1 point in 12 cases; 7 cases were unchanged, and 1 case had worsened by 1 point. We observed 3 local recurrences. One case developed manifestations at a different site. Spinal meningiomas are often diagnosed late, after they have already caused major neurological deficits. Nevertheless, owing to their benign character, the outcome is favorable when treated appropriately. The outcome depends above all on the initial neurological status. The worse the deficit is, the less probable it is that the patient will recover neurologically.
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Wydawca

Czasopismo
Rocznik
Tom
3
Numer
3
Strony
322-326
Opis fizyczny
Daty
wydano
2008-09-01
online
2008-07-10
Twórcy
  • Department of Neurosurgery, University Muenster, Center for Spine Surgery, Osnabrueck, Germany, jschroder@web.de
  • Department of Neurosurgery, University Muenster, Center for Spine Surgery, Osnabrueck, Germany
  • Department of Neurosurgery, University Muenster, Center for Spine Surgery, Osnabrueck, Germany
  • Department of Neurosurgery, University Muenster, Center for Spine Surgery, Osnabrueck, Germany
Bibliografia
  • [1] Saito T., Arizono T., Maeda T., Terada K., Iwamoto Y., A novel technique for surgical resection of spinal meningioma, Spine, 2001, 26, 1805–1808 http://dx.doi.org/10.1097/00007632-200108150-00017[Crossref]
  • [2] King A.T., Sharr M.M., Gullan R.W., Bartlett J.R., Spinal meningiomas: a 20-year review, Br.J Neurosurg, 1998, 12, 521–526 http://dx.doi.org/10.1080/02688699844367[Crossref]
  • [3] Gezen F., Kahraman S., Canakci Z., Beduk A., Review of 36 cases of spinal cord meningioma, Spine, 2000, 25, 727–731 http://dx.doi.org/10.1097/00007632-200003150-00013[Crossref]
  • [4] Klekamp J. and Samii M., Surgical results for spinal meningiomas.[comment], Surg Neurol., 1999, 52, 552–562 http://dx.doi.org/10.1016/S0090-3019(99)00153-6[Crossref]
  • [5] Qasho R., Lunardi P., Lo B.F., di Stefano M., Lo B., Rare combination of spinal lesions and subcutaneous meningioma in a 44 year old man, J Neurooncol., 1998, 38, 77–82 http://dx.doi.org/10.1023/A:1005981110128[Crossref]
  • [6] Klekamp J. and Samii M., Introduction of a score system for the clinical evaluation of patients with spinal processes, Acta Neurochir.(Wien), 1993, 123, 221–223
  • [7] Roux F.X., Nataf F., Pinaudeau M., Borne G., Devaux B., Meder J.F., Intraspinal meningiomas: review of 54 cases with discussion of poor prognosis factors and modern therapeutic management. [Review], Surg Neurol., 1996, 46, 458–463 http://dx.doi.org/10.1016/S0090-3019(96)00199-1[Crossref]
  • [8] Solero C.L., Fornari M., Giombini S., Lasio G., Oliveri G., Cimino C., et al, Spinal meningiomas: review of 174 operated cases, Neurosurgery, 1989, 25, 153–160 http://dx.doi.org/10.1097/00006123-198908000-00001[Crossref]
  • [9] Schaller B. and Schaller B., Spinal meningioma: relationship between histological subtypes and surgical outcome?, J Neurooncol., 2005, 75, 157–161 http://dx.doi.org/10.1007/s11060-005-1469-4[Crossref]
  • [10] Cohen-Gadol A.A., Zikel O.M., Koch C.A., Scheithauer B.W., Krauss W.E., Cohen-Gadol A.A., et al, Spinal meningiomas in patients younger than 50 years of age: a 21-year experience, J.Neurosurg., 2003, 98, 258–263
  • [11] Schick U., Marquardt G., Lorenz R., Recurrence of benign spinal neoplasms, Neurosurg.Rev., 2001, 24, 20–25 http://dx.doi.org/10.1007/PL00011961[Crossref]
  • [12] Morandi X., Haegelen C., Riffaud L., Amlashi S., Adn M., Brassier G., et al, Results in the operative treatment of elderly patients with spinal meningiomas, Spine, 2004, 29, 2191–2194 http://dx.doi.org/10.1097/01.brs.0000141173.79572.40[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0045-7
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