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Spinal meningiomas: 24-Case clinical series

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Purpose: Meningiomas are originated from arachnoid cells. Spina meningiomas constitutes an approximate 25-45% of all intradural spinal tumors. In general these are tumors slowly growing at intradural extramedullary localization and mostly of benign characteristics.Their treatment is total excision with hemilaminectomy, laminectomy or laminoplasty. Demographics, surgical treatment results, and factor considered to affect these results of 24 spinal meningioma cases operated at our clinic between 2005-2016 were aimed to be inspected. Materials and methods: In our study, 24 spinal meningioma cases operated at our clinic between 2005-2016 were inspected in terms of age, gender, complaint, complaint duration, localizations, neurological examination results,their correlations with dura, applied surgical method, and all these parameters’ effects on the clinical course. Results: 20 of 24 cases (83.4%) were female and 4 of them were male (16.6%). Average age was found to be 57.7 (27-85) year. The most common complaint was pain with 75% (18 cases, and weakness and numbness in arms and legs followed with 12.5% (3 cases). As per the localization, 70.8% (17 cases) resided at thoracic, 25% (6 cases) at cervical, and 4.2% (1 case) at lumbar region.Gross total mass excision was established in 83.4% of patients (20 cases) via laminectomy and 16.6% of them (4 cases) via laminoplasty.2 patients developed cerebrospinal leakage, 4 patients developed superficial infection, and 2 patients developed temporary neurological deficit as postoperative complications. Conclusion: Spinal meningiomas are the most frequently seen intradural extramedullary secondary spinal tumors and of benign characteristics. In these patients, early diagnosis,early period surgery within a short term after the detection, and total resection as far as possible are of significant importance to acquire long term positive results.

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Spinal meningioma , total resection , intradural extramedullary tumor

Pamukkale Medical Journal

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