Acta Neurochirurgica

, Volume 159, Issue 12, pp 2385–2388 | Cite as

Is the complete excision of circumferential intradural spinal meningiomas achievable?

How I Do it - Spine
  • 12 Downloads

Abstract

Background

Circumferential intradural spinal meningiomas are exceptionally rare. They pose several surgical challenges and a complete excision is not easy. The aim of this study is to provide surgical strategies to facilitate a full excision of such tumors.

Methods

A fully circumferential intradural meningioma at T9/10 was fully removed via a posterior approach and a structured single procedure, with no intra or perioperative complications.

Conclusions

Complete removal of circumferential spinal meningiomas can be achieved with wise preoperative planning, familiarity with techniques needed to transpose the spinal cord, and a structured staged excision of the four components of these tumors.

Keywords

Circumferential En plaque Excision Meningioma Spine 

Supplementary material

Video 1

Midline standard T9-10 laminectomy, followed by systematic dissection and removal of the tumor — posterior, left, anterior, right components. (MOV 132728 kb)

References

  1. 1.
    Carter DA, Rowed DW, Lewis AJ (1985) Subdural meningioma of spinal cord. Case report. J Neurosurg 63:800–803. https://doi.org/10.3171/jns.1985.63.5.0800 CrossRefPubMedGoogle Scholar
  2. 2.
    Foster M, Soh C, DuPlessis D, Karabatsou K (2016) Circumferential intradural meningioma of the thoracic spinal cord. Spine J 16:e479–e483. https://doi.org/10.1016/j.spinee.2016.02.053 CrossRefPubMedGoogle Scholar
  3. 3.
    Gamache FW Jr, Wang JC, Deck M, Heise C (2001) Unusual appearance of an en plaque meningioma of the cervical spinal canal. A case report and literature review. Spine (Phila Pa 1976) 26:E87–E89CrossRefGoogle Scholar
  4. 4.
    Klekamp J, Samii M (1999) Surgical results for spinal meningiomas. Surg Neurol 52:552–562CrossRefPubMedGoogle Scholar
  5. 5.
    Nakamura M, Tsuji O, Fujiyoshi K, Hosogane N, Watanabe K, Tsuji T, Ishii K, Toyama Y, Chiba K, Matsumoto M (2012) Long-term surgical outcomes of spinal meningiomas. Spine (Phila Pa 1976) 37:E617–E623. https://doi.org/10.1097/BRS.0b013e31824167f1 CrossRefGoogle Scholar
  6. 6.
    Singh BAA (2009) En-plaque meningioma completely encircling the cervical cord: case report. Iran J Radiol 6:159–161Google Scholar
  7. 7.
    Stechison MT, Tasker RR, Wortzman G (1987) Spinal meningioma en plaque. Report of two cases. J Neurosurg 67:452–455. https://doi.org/10.3171/jns.1987.67.3.0452 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  1. 1.Department of Neurosurgery, Addenbrooke’s HospitalCambridge University HospitalsCambridgeUK

Personalised recommendations