Benefits of spinal meningioma resection.

Benefits of spinal meningioma resection.

Surg Neurol Int. 2018;9:16

Authors: Santos RC, de Amoreira Gepp R

Abstract
Background: Spinal meningiomas account for approximately 40% of intradural extramedullary tumors. As they are usually slow growing, some patients are often diagnosed late in the clinical course when they have developed myelopathy.
Methods: Here, we retrospectively studied a cohort of 51 patients undergoing surgery for spinal meningiomas. The median follow-up period was 45.9 months (range, 1-168 months). Assessment included evaluation of functional outcomes (e.g., comparison of the pre and postoperative status using the modified McCormick Functional Scale) and identification of prognostic factors.
Results: Seventeen patients with grade IV (McCormick Scale) neurological deficits on admission underwent surgical resection; 4 of 5 grade III (McCormick Scale) and 14 patients (Grade IV) improved within 2.11 months (mean time) postoperatively. There was no surgical mortality and the morbidity rate was 16%.
Conclusion: Patients with advanced neurological deficits/myelopathy (Grades III or IV on the McCormick Scale) improved following surgical resection of spinal meningiomas.

PMID: 29497569 [PubMed]

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