gms | German Medical Science

58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

26. bis 29.04.2007, Leipzig

Spinal meningiomas: Critical analysis of 131 surgically treated cases

Spinale Meningeome: Kritische Analyse von 131 chirurgisch behandelten Fällen

Meeting Abstract

  • corresponding author I.E. Sandalcioglu - Neurochirurgische Klinik, Universitätsklinikum Essen
  • A. Hunold - Neurochirurgische Klinik, Universitätsklinikum Essen
  • O. Müller - Neurochirurgische Klinik, Universitätsklinikum Essen
  • S. Asgari - Neurochirurgische Klinik, Universitätsklinikum Essen
  • D. Stolke - Neurochirurgische Klinik, Universitätsklinikum Essen

Deutsche Gesellschaft für Neurochirurgie. 58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC). Leipzig, 26.-29.04.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. DocSO.01.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2007/07dgnc206.shtml

Veröffentlicht: 11. April 2007

© 2007 Sandalcioglu et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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Objective: This study was undertaken to analyze the functional outcome of surgically treated spinal meningiomas and to determine sources of operative morbidity.

Methods: Between January 1990 and December 2005 a total of 131 patients underwent surgical resection of a spinal menigioma. There were 114 female (87%) and 17 male (13%) patients. Age ranged from 17 to 88 years (mean 69 years). The mean follow-up period was 4 months (range 1 to 108 months) including a complete neurological examination and postoperative MRI studies. The pre and postoperative neurological state was graded according to the Frankel Scale. Surgery was performed under standard microsurgical conditions with neurophysiological monitoring.

Results: In 95 patients (72,5%), the lesion was located in the thoracic region, in 21 patients (16.0%) in the cervical region, in 7 patients at the cervico-thoracic junction, in 6 patients at the thoraco-lumbar junction and in 2 patients in the lumbar region. Surgical resection was complete in 127 patients and subtotal in 4 patients. Transient neurological deterioration was observed in 16 cases. At the last follow-up, the neurological state was improved or unchanged in 121 patients (92%) and worse in 10 patients (8%) compared to the preoperative condition. Two patients died due to non surgically related complications and 1 patient due to a tumor progression.

Conclusions: Radical resection of spinal meningiomas can be performed with good functional results. Extensive tumor calcification and arachnoid adhesions to the surrounding neural tissue proved to harbor an increased risk for surgical morbidity.