Spinal meningiomas – 92 patients operated at our department

Česká verzia

Authors: R. Voldřich; D. Netuka; V. Beneš
Authors place of work: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN Praha
Published in the journal: Cesk Slov Neurol N 2019; 82(6): 664-669
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2019664

Summary

Aim: Spinal meningiomas are the most common primary spinal tumors. Our retrospective study describes the results of surgical treatment and compares them to foreign series. At the same time, it gives a brief overview of selected literature.

Materials and methods: The study includes 92 patients operated between years 1998 and 2018. Clinical symptomatology, age, gender, risk co-morbidities, spinal level, duration of symptoms, radicality of resection, tumor recurrences and complications associated with treatment were evaluated.

Results: We encountered the diagnosis more often in women (81.5%). The average age was 64 years. Most meningiomas were located in the thoracic spine (79%), and the rest (21%) in the cervical spine. The most common symptom was motor deficit diagnosed in 79% of cases. Sensation disorder (70%), sphincter dysfunction (10%) or local pain (4.3%) as a major symptom were less common. Altogether 11% of the tumors were asymptomatic. The mean duration of symptoms was 10 months. 92.3% of patients underwent radical resection. The mean follow-up was 36 months. During this period, we recorded tumor recurrence in 8.7% of operated patients. 88% of symptomatic patients improved postoperatively, and 2% worsened. The rest remained clinically unchanged.

Conclusion: The results of surgical treatment of spinal meningiomas are favorable. Although the rate of tumor recurrence is low, regular and long-term follow-up of patients is essential for its early diagnosis.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

92例脊髓脑膜瘤在我科手术

目的：脊柱脑膜瘤是最常见的原发性脊柱肿瘤。我们的回顾性研究描述了手术治疗的结果，并将其与国外系列比较。同时，对所选文献进行简要概述。

材料和方法：该研究包括1998年至2018年期间接受手术的92例患者。评估了临床症状，年龄，性别，危险合并症，脊柱水平，症状持续时间，切除的彻底性，肿瘤复发和与治疗相关的并发症。

结果：我们在女性中更常遇到诊断（81.5％）。平均年龄为64岁。大多数脑膜瘤位于胸椎（79％），其余（21％）位于颈椎。最常见的症状是在79％的病例中诊断出运动不足。主要症状是感觉障碍（70％），以括约肌功能障碍(10%)或局部疼痛(4.3%)为主要症状者较少见。共有11％的肿瘤无症状。症状的平均持续时间为10个月。 92.3％的患者接受了根治性切除。平均随访时间为36个月。在此期间，我们记录了8.7％的手术患者肿瘤复发。 88％的有症状患者术后改善，2％恶化。其余的在临床上保持不变。

结论：脊柱脑膜瘤的手术治疗效果良好。尽管肿瘤的复发率很低，但是对患者的定期和长期随访对其早期诊断至关重要。

关键词：脑膜瘤–脊髓性脑膜瘤–手术治疗

Keywords:

operative treatment – Meningioma – spinal meningioma

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