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July2013 Vol.50 Issue:        3       (Supp.) Table of Contents
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Clinical Outcome after Microsurgical Resection of Spinal Canal Meningiomas: Multidisciplinary Team Experience

Mohamed A. Mattar1, Ashraf A. Ezz Eldin1, Ashraf S. Zidan1,

Mohammad Abu-Hegazy2, Hassan Salama2

Departments of Neurosurgery1, Neurology2, Mansoura University; Egypt



ABSTRACT

Background: Meningiomas are primary and the second most common type of benign tumors of central nervous system derived from meningothelial cells. Objective: To evaluate the clinical outcome of posterior approach microsurgical resection of spinal meningiomas. Methods: Thirty-two patients underwent microsurgical resection via the posterior approach; as well visual analogue scale (VAS) and medical research council (MRC) were used for clinical evaluation. All patients underwent clinical evaluation, MRI pre- and post-operation. Follow up duration was about 1 year after surgery. Results: The patients enrolled 26 females and six males, with a median age of 48 years old (range 22-74). 26 Cases experienced clinical improvement following operations. The extent of tumor resection was Simpson Grade I in 5 patients, Grade II in 20, Grade III in 7. No recurrence could be detected on one-year follow up. There were two cases of postoperative CSF leakage and two cases of worsened neurological status due to operative morbidity. There was no immediate postoperative mortality. Conclusion: Gross total resection is associated with no recurrence and favorable clinical outcome when applied, regardless of dural origin control. [Egypt J Neurol Psychiat Neurosurg.  2013; 50(3): 235-240]

 Key Words: Spinal canal Meningioma –microsurgical posterior approach.

Correspondence to  Hassan Salama, Department of Neurology, Mansoura University, Egypt. Tel.: +201005067491      E-mail: hassansalama@yahoo.com





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