Spinal meningioma: Five-year experience of a single center
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Çetinkal, A. (2021). Spinal meningioma: Five-year experience of a single center. Annals of Medical Research, 28(11), 2039-2043. https://dx.doi.org/10.5455/annalsmedres.2021.02.127Abstract
Aim: To discuss the natural history of spinal meningiomas (SMs) in our series, surgical approach options, and pathology results in
light of the literature.
Material and Methods: Of the 151 meningioma cases operated on between June 2014 and August 2020 in our center, 11 with spinal
localization were analyzed retrospectively.
Results: Three (27%) of our cases were male, eight (73%) were female, and 7.2% of all meningioma cases were located in the spine.
The patients mostly presented with paraparesis, and 73% of the tumors had a thoracic localization and 64% had a lateral spinal
localization. We were able to reach a 90% Simpson grade I resection limit after the opening procedure performed with mostly
hemilaminectomy or laminoplasty. The histopathologies of all our cases were reported as meningothelial and transitionally weighted
WHO grade I, and their postoperative clinical states showed a favorable progression according to the Karnofsky and McCormick
scales.
Conclusion: WHO grade I histopathology and thoracic spinal location are predominant in SMs. With low recurrence and mortality
rates, favorable outcomes can be obtained with gross total resection in most cases. Due to the slow course of SMs, care should be
taken against the possibility of misdiagnosis.
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Annals of Medical ResearchVolume
28Issue
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