Skip to main content
SpringerLink
Log in

Personal experience with the surgery of spinal meningiomas

  • Original Articles
  • Published:
The Italian Journal of Neurological Sciences Aims and scope Submit manuscript

Abstract

We present a series of 36 surgically treated spinal meningiomas, emphasising that the complaints of a patient with spinal meningioma are too often misinterpreted and ascribed to other, more common, affections of the spine such as spondyloarthrosis or disc prolapse. CT scanning and myelography should be used more routinely, in order to reduce the delay in diagnosing a spinal meningioma. Excision of the dural attachment is not always essential to avoid recurrences.

Sommario

Gli Autori presentano una serie di 36 meningiomi spinali trattati chirurgicamente. Essi sottolineano come, troppo spesso, i sintomi di un meningioma spinale siano male interpretati e riferiti ad altre e più comuni malattie della colonna come la spondiloartrosi o l'ernia del disco.

La mielografia e la tomografia computerizzata dovrebbero essere utilizzate più frequentemente per ridurre i tempi di diagnosi di un meningioma spinale.

L'asportazione dell'impianto durale del tumore non è sempre indispensabile per prevenire possibili recidive.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cushing H., Eisenhardt L.:Meningiomas: their classification, regional behavior, life history and surgical and results. Springfield (Ill), Charles C. Thomas, 1938.

    Google Scholar 

  2. Levy W.J., Bay J., Dohn D.:Spinal cord meningioma. J. Neurosurg., 57:804–812, 1982.

    PubMed  Google Scholar 

  3. Backus M.L. Untersuchungen zur Statistik der Biologie und Pathologie intrakranieller und spinaler raumfordernder Prozesse. Inaug. Diss. Cologne, 1965.

  4. Bret P., Lecuire J., Lapras C., Derutty R., Dechaume J.P., Assad A.:Les méningiomes intra-rachidiens; Reflexions à propos d'une série di 60 observations. Neurochirurgie, 22:5–22, 1976.

    Google Scholar 

  5. Klar E., Henn R.:Erfahrungen mit 262 laminektomien. Langenbecks Arch. Klin. Chir., 296:614–625, 1961.

    Article  Google Scholar 

  6. Nittner K.: Raumbeengende Prozesse in spinal kanal (einschliesslich angioma und parasiten). In Krenkel W., Olivecrona H., Tonnis W.: Handbuch der Neurochirurgie, Vol. 7, Berlin-Heidelberg-New York, Springer, pp. 1–606, 1972.

    Google Scholar 

  7. Scheid W.:Die hirntumoren und andere raumfordernden Prozesse. Die raumfordernden spinalen Prozessen. In Scheid W.: Lehrbuch der neurologie. Stuttgart, George Thieme, pp. 288–320, 550–562, 1963.

    Google Scholar 

  8. Umbach W.:Klinik und verlauf bei 192 spinalen prozessen mit besonderer barucksichtigung der gefasstumoren. Acta Neurochir., (Wien), 10:167–181, 1962.

    Google Scholar 

  9. Arseni C., Jonesco S.:Les compressions médulaires dues à des tumeurs intrarachidiennes. Etude clinico-statistique de 362 cas. J. Chir. (Paris), 75:582–594, 1958.

    Google Scholar 

  10. Becker J.:Die meningiome des Ruckenmarks. Klinik und differential-diagnose; Inaug. Diss. Cologne, 1965.

  11. Elsberg C.A.:Tumors of the spinal cord and symptoms of irritation and compression of the spinal cord and nerve roots. Pathology, symptomatology and treatment. Paul B. Hoeber, New York, 1925.

    Google Scholar 

  12. Nittner K.:Spinal meningiomas, neurinomas and hourglass tumour. In Vinken P.J., Bruyn G.W., Handbook of clinical neurology, Vol. 20. Amsterdam, North-Holland, pp. 177–322, 1976.

    Google Scholar 

  13. Oddsson B.:Spinal meningiomas. Thesis, Copenhagen, 1947.

  14. Calogero J.A., Moossy J.:Extradural spinal meningiomas. Report of four cases. J. Neurosurg., 37:442–447, 1972.

    PubMed  Google Scholar 

  15. Elsberg C.A.:Surgical diseases of the spinal cord, membranes and nerve roots: symptoms, diagnosis and treatment. Paul B. Hoeber, New York, pp. 208–230; 1941.

    Google Scholar 

  16. Pertuiset B., Ouvry P., Metzger J.:Les méningiomes rachidiens. Etude anatomo-clinique et thérapeutique d'après 57 cas. Ann. dir., 13:17–18, 1073–1081, 1959.

    Google Scholar 

  17. Arseni C., Maretsis M.:Tumors of the lower spinal canal associated with increased intracranial pressure and papilledema. J. Neurosurg., 27:105–110, 1967

    Google Scholar 

  18. Dardenne G.:Hypertension intracranienne et contaminations chimiques et cytologiques du liquide céphalo-rachidien. Acta Neurochir., 70:17–56, 1967.

    Google Scholar 

  19. Nicola G.G., Nizzoli V.:Increased intracranial pressure and papilledema associated with spinal tumors. Neurochirurgia (Stuttg.), 12:138–144, 1969.

    Google Scholar 

  20. Ridsdale L., Moseley I.:Thoraco-lumbar intraspinal tumours presenting features of raised intracranial pressure. J. Neurol. Neurosurg. Psychiat., 41:737–745, 1978.

    PubMed  Google Scholar 

  21. Wood E.H.:The diagnosis of spinal meningiomas and schwannomas by myelography. AJR, 61:683–689, 1949.

    Google Scholar 

  22. Agnoli A., Bonamini F., Tartarini E.:Tumori spinali. Parte seconda. Studio statistico clinico in rapporto ai dati della letteratura. Riv. Neurobiol., 10, 1964.

  23. Brown M.H.:Intraspinal meningiomas. Arch. Neurol. Psychiat. (Chic.), 47:271–292, 1942.

    Google Scholar 

  24. Culver G.J., Concarmon J.P., Koenig E.C.:Calcification in intraspinal meningiomas. AJR, 62:237–246, 1949.

    Google Scholar 

  25. Lombardi G., Passerini A.:Spinal cord diseases. A radiological and myelographic analysis. Baltimore, Williams and Wilkins, 1964.

    Google Scholar 

  26. Doker I.:Katamnestische erhebungen bei Ruckenmarkstumoren. Inaug. Diss., Cologne, 1965.

  27. Iraci G., Peserico L., Salar G.:Intraspinal neuromas and meningiomas. Int. Surg., 56:289–303, 1971.

    PubMed  Google Scholar 

  28. Learmonth J.:On leptomeningiomas (endotheliomas) of the spinal cord. Brit. J. Surg., 14:397–419, 1927.

    Google Scholar 

  29. Torma T.:Malignant tumours of the spine and the spinal extradural space; a study based on 250 histologically verified cases. Acta Chir. Scand., suppl. 225:1–176, 1957.

    Google Scholar 

  30. Freidberg S.R.:Removal of an ossified ventral thoracic meningioma. Case report. J. Neurosurg., 37:728–730, 1972.

    PubMed  Google Scholar 

  31. Guleke N.:Die eingriffe an der Wirbelsaule und am Ruckenmark. In Kirschner M.: Allgemeine und spezielle chirurgische operationslehre. Berlin, Springer, pp. 911–1023, 1935.

    Google Scholar 

  32. Kempe L.G.:Extramedullary intradural tumours. Thoracic meningioma. In Kempe L.G.: Operative Neurosurgery; Vol. 2. Berlin-Heidelberg, Springer-Verlag, pp. 122–125; 1970.

    Google Scholar 

  33. Maxwell R.E., Chou S.N.:Convexity meningiomas and general principles of meningioma surgery. In Schmidek H.H., Sweet W.H.: Operative neurosurgical techniques, Vol. 1, Grune and Stratton, New York, pp. 491–501, 1982.

    Google Scholar 

  34. Hachen H.G.:Computed tomography of the spine and the spinal cord; limitations and applications. Paraplegia, 19:155–163, 1981.

    PubMed  Google Scholar 

  35. Lee B.C., Kazam E., Newman A.D.:Computed tomography of the spine and spinal cord. Radiology, 128:95–102, 1978.

    PubMed  Google Scholar 

  36. Nakagawa H., Huang Y.P., Malis L.I., Wolf B.S.:Computed tomography of intraspinal and paraspinal neoplasms. J. Comput. Assist. Tomogr., 1:377–389, 1977.

    PubMed  Google Scholar 

  37. Roub L.W., Drayer B.P.:Spinal computed tomography: limitations and applications. AJR, 133:267–273, 1979.

    PubMed  Google Scholar 

  38. Memon M.Y., Schneck L.:Ventral spinal tumour: the value of computed tomography in its localization. Neurosurgery, 8:108–111, 1981.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Divisione di Neurochirurgia, Ospedali Galliera, Via Volta, 8, 16128, Genova

    Boccardo M., Ruelle A. & Mariotti E.

Authors
  1. Boccardo M.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ruelle A.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mariotti E.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boccardo, M., Ruelle, A. & Mariotti, E. Personal experience with the surgery of spinal meningiomas. Ital J Neuro Sci 6, 29–35 (1985). https://doi.org/10.1007/BF02229214

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02229214

Key Words

Search

Navigation