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



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.


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.


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.


Circumferential En plaque Excision Meningioma Spine 


Compliance with ethical standards

No funding/grant and no conflict of interest.

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)


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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

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

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