Spinal meningiomas

Summary

Between the years of 1970-1982 29 spinal meningioma cases were operated on; 22 cases (76%) were female and 7 (24%) were male. The youngest patient was 16, and the oldest was 68 years old. On neurological examination, patients had neurological deficits in varying degrees. Diagnosis were done by myelography in all cases. Laminectomy was performed in all cases. 34.4% of cases were situated in cervical region and 65.6% were in thoracic region. 14% of the tumours were located extradurally and 68% were intradural. Multiple spinal meningioma was seen in only one case. One case died after operation; the mortality rate is 4%. 22 cases came for follow-up examination, 86.5% of them were in excellent or good condition. Only three cases showed no improvement.

Zusammenfassung

Während der Jahre 1970-1982 wurden in unserer Abteilung 29 spinale Meningiome, der Jüngste mit 16, der Älteste mit 68 Jahren, darunter 7 Männer und 22 Frauen, operiert. Bei der neurologischen Untersuchung waren neurologische Ausfälle verschiedenen Grades vorhanden. Mit der Myelographie stellte man in 34,4% der Fälle im Zervikal- und 65,6% im Thorakalbereich fest. Nur in einem Fall fanden sich multiple Meningeome im Spinalbereich. In 4 Fällen saß der Tumor extradural und 25 Fällen intradural. Die Mortalität betrug 4%. 86,5% der Fälle, die noch unter Kontrolle stehen, sind in gutem klinischem Zustand. Bei drei Fällen brachte die Operation nicht das erwünschte Ergebnis.

Key-Words

Meningioma - Spinal cord tumour - Spinal surgery - Calcified meningioma - Extradural meningioma