تلخیص
Background: Spinal meningiomas are relatively rare in comparison to intracranial meningiomas. Spinal meningiomas occur more often in females than males. The goal of surgery is precise resection of the tumor with functional recovery. This study was conducted to assess surgical management of spinal meningiomas.
Material & Methods: This descriptive hospital-based study was conducted in Department of Neurosurgery, Lady Reading Hospital, Peshawar, from January 2006 to January 2009. Patients with spinal meningioma were selected on the basis of clinical features and MRI findings, The record of all patients was analysed. We made a proforma for collection of data, which included information about patient identity, clinical features and MRI findings and histopathology.
Results: We studied 48 patients with spinal meningioma. Their age ranged from 18 to 78 years, with mean of 48 years. Among these 43(90%) were females and 5(10%) males. Paraparesis was predominant motor symptom in 27(56.25%), while hypesthesia was predominant sensory symptom in 32(66.6%) patients. There was sphincter dysfunction in 14(30%) patients. MRI spine was performed in all cases. Surgical results showed Simpson Grade-2 removal in 40(40.32%), Grade-3 in 6(12.5%), and Grade-4 in 2(4.16%) patients. Patients were followed-up for 2 years. Post-operatively 37(77%) patients improved, 2(4.16%) deteriorated due to spinal cord injury and syrinx, and 9 (18.75%) had no change. Six (12%) patients had recurrence and there was Simpson grade 3 and 4 removal in these patients. Two patients had superficial wound infection which was subsequently managed, and 4 patients had CSF leak which was managed conservatively.
Conclusion: Spinal meningioma most commonly occurs in the thoracic and cervical regions. Posterior or posterolateral approaches are the most commonly employed. Gross total resction is the treatment of choice.
Naeem ul Haq, Rizwan Shah, Hayat Muhammad Khan, Muhammad Usman, Mumtaz Ali. (2015) OUTCOME OF SURGICAL MANAGEMENT IN SPINAL MENINGIOMA: A STUDY OF 48 CASES, Gomal Journal of Medical Sciences , Volume 13, Issue 1.
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