Abstract
Spinal meningiomas are usually benign, slow-growing tumours and are commonly associated with good patient outcome following surgery. However, the existence of a severe preoperative neurological deficit has been considered to be a possible predictor of poor functional outcome after surgery. We retrospectively reviewed data from 33 patients with 35 spinal meningiomas treated in our institution over the past 17 years and exhibiting severe preoperative deficits before surgery. Among them, 20 suffered from paraparesis and 13 were paraplegic. The mean follow-up duration was 70.7 months (range 12–183 months). By the 1-year follow-up, all patients had improved in comparison with their preoperative neurological status, and 60% of them had totally recovered. It can be concluded from this study, that, in the vast majority of cases, patients harbouring spinal meningioma with severe preoperative deficits can expect a good outcome.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bull JWD (1953) Spinal meningiomas and neurofibromas. Acta Radiol 40:283–300
Ciappetta P, Domenicucci M, Raco A (1988) Spinal meningiomas: prognosis and recovery factors in 22 cases with severe motor deficits. Acta Neurol Scand 77:27–30
Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behavior, life history and surgical end results. Thomas, Springfield, IL, p 735
Davis RA, Washburn PL (1970) Spinal cord meningiomas. Surg Gynec Obstet 131:15–21
Dripps RD, Lamont A, Eckenhoff JE (1961) The role of anesthesia in surgical mortality. JAMA 178:261–266
Gezen F, Kakraman S, Canakci Z, Bedük A (2000) Review of 36 cases of spinal cord meningioma. Spine 25:727–731
Griffiths IR, Trench JG, Crawford RA (1979) Spinal cord blood flow and conduction during experimental cord compression in normotensive and hypotensive dogs. J Neurosurg 50:353–360
Harkey HL, al-Mefty O, Marawi I, Peeler DF, Hain DE, Alexander LF (1995) Experimental chronic compressive myelopathy: effects of decompression. J Neurosurg 83:336–341
Helseth A, Mork SJ (1989) Primary intra-spinal neoplasms in Norway, 1955 to 1986: a population-based survey of 467 patients. J Neurosurg 71:842–845
Iraci G, Peserico L, Salar G (1971) Intraspinal neurinomas and meningiomas: a clinical survey of 172 cases. Int Surg 56:289–303
Johnston RA (1993) The management of acute spinal cord compression. J Neurol Neurosurg Psychiatry 56:1046–1054
Kanchiku T, Taguchi T, Kaneko K, Yonemura H, Kawai S, Gondo T (2001) A new rabbit model for the study on cervical compressive myelopathy. J Ortho Res 19:605–613
King AT, Sharr MM, Gullan RW, Bartlett JR (1998) Spinal meningiomas: a 20-year review. Br J Neurosurg 12:521–526
Klekamp J, Samii M (1999) Surgical results for spinal meningiomas. Surg Neurol 52:552–562
Klekamp J, Batzdorf U, Samii M, Bothe HW (1997) Treatment of syringomyelia associated with arachnoid scarring caused by arachnoiditis or trauma. J Neurosurg 86:223–240
Levy WJ Jr, Bray J, Dohn D (1982) Spinal cord meningiomas. J Neurosurg 57:804–812
Marx GF, Mateo CV, Orkin LR (1973) Computer analysis of postanesthetic deaths. Anesthesiology 39:54–58
Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL (1985) Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62:18–24
Roux FX, Nataf F, Pinaudeau M, Borne G, Devaux B, Meder JF (1996) Intraspinal meningiomas: review of 54 cases with discussion of poor prognosis factors and modern therapeutic management. Surg Neurol 46:458–464
Rubinstein LJ (1972) Atlas of tumor pathology: tumors of the central nervous system. Armed Forces Institute of Pathology, Washington
Sajanti J, Majamaa K (1999) Detection of meningeal fibrosis after subarachnoid haemorrhage by assaying procollagen propeptides in cerebrospinal fluid. J Neurol Neurosurg Psychiatry 67:185–188
Solero CL, Fornari M, Giombini S et al (1989) Spinal meningiomas: review of 174 operated cases. Neurosurgery 25:153–160
Souweidane M, Benjamin V (1994) Spinal cord meningiomas. Neurosurg Clin N Am 5:283–291
Stechison MT, Tasker RR, Wortzman G (1987) Spinal meningioma en plaque: report of two cases. J Neurosurg 67:452–455
Tarlov IM (1954) Spinal cord compression studies: time limits for recovery after gradual compression in dogs. Arch Neurol Psychiatry 71:588–597
Tarlov IM, Herz E (1954) Spinal cord compression studies: outlook with compression paralysis in man. Arch Neurol Psychiatry 72:43–59
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Haegelen, C., Morandi, X., Riffaud, L. et al. Results of spinal meningioma surgery in patients with severe preoperative neurological deficits. Eur Spine J 14, 440–444 (2005). https://doi.org/10.1007/s00586-004-0809-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-004-0809-y