Spinal meningiomas –  92 patients operated at our department


Authors: R. Voldřich;  D. Netuka;  V. Beneš
Authors‘ workplace: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN Praha
Published in: Cesk Slov Neurol N 2019; 82(6): 664-669
Category: Original Paper
doi: 10.14735/amcsnn2019664

Overview

Aim: Spinal meningiomas are the most com­mon primary spinal tumors. Our retrospective study describes the results of surgical treatment and compares them to foreign series. At the same time, it gives a brief overview of selected literature.

Materials and methods: The study includes 92 patients operated between years 1998 and 2018. Clinical symp­tomatology, age, gender, risk co-morbidities, spinal level, duration of symp­toms, radicality of resection, tumor recur­rences and complications as­sociated with treatment were evaluated.

Results: We encountered the dia­gnosis more often in women (81.5%). The average age was 64 years. Most meningiomas were located in the thoracic spine (79%), and the rest (21%) in the cervical spine. The most com­mon symp­tom was motor deficit dia­gnosed in 79% of cases. Sensation disorder (70%), sphincter dysfunction (10%) or local pain (4.3%) as a major symp­tom were less com­mon. Altogether 11% of the tumors were asymp­tomatic. The mean duration of symp­toms was 10 months. 92.3% of patients underwent radical resection. The mean fol­low-up was 36 months. Dur­­ing this period, we recorded tumor recur­rence in 8.7% of operated patients. 88% of symp­tomatic patients improved postoperatively, and 2% worsened. The rest remained clinical­ly unchanged.

Conclusion: The results of surgical treatment of spinal meningiomas are favorable. Although the rate of tumor recur­rence is low, regular and long-term fol­low-up of patients is es­sential for its early dia­gnosis.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.

Keywords:

meningioma – spinal meningioma – operative treatment


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Labels
Paediatric neurology Neurosurgery Neurology

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