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Spinal Meningiomas

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Surgery of the Spine and Spinal Cord

Abstract

Spinal meningiomas can affect patients of all ages, but they are more common between the fifth and the seventh decade of life. Accounting for only 7.5–12 % of all meningiomas and showing an incidence of five per million in the female and three per million in the male population, these tumors are considered rare entities. Nevertheless, spinal meningiomas are relatively important, since they represent 25–46 % of all primary intraspinal neoplasms. Women are affected with a higher frequency, but in the small subgroup of the cervical meningiomas, a clear predilection is observed for the male gender. In women, the thoracic spine (posterior, lateral, or anterolateral) is the most frequently involved (80 %), followed by the cervical region (15 %). The distribution is quite different in men, where the thoracic and cervical regions account for almost the same ratio (50 % and 40 %, respectively). Meningiomas arising from the lumbar spine are mostly anecdotal for both genders. Cervical meningiomas show a predilection to develop from the anterior and anterolateral aspects of the dura mater, mostly cephalad, in proximity of the foramen magnum, possibly surrounding but rarely infiltrating the vertebral arteries (VAs).

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Correspondence to Michaël Bruneau MD, PhD .

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Bruneau, M., Riva, M., Brotchi, J. (2016). Spinal Meningiomas. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_47

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  • DOI: https://doi.org/10.1007/978-3-319-27613-7_47

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