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Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report.
J Neurosurg Spine. 2006 Jul; 5(1):76-8.JN

Abstract

The management of spinal meningiomas with extensive involvement of the dura mater is controversial. The principal difficulty in performing a resection is the potential for complications associated with this approach. The authors present the case of a pregnant 35-year-old woman in whom bilateral lower-extremity numbness, weakness, gait ataxia, and myelopathy developed. Magnetic resonance imaging showed a recurrent thoracic meningioma with extensive infiltration of the dura mater. Durectomy, complete resection, and reconstruction were performed. The patient has not experienced a recurrence 21 months after her treatment. This case illustrates that thoracic spinal meningiomas with extensive dural involvement can be resected safely with a complete durectomy. The novel dural reconstruction involving the implantation of a fascia lata and bovine pericardium allograft is an effective way to reconstruct the dura to create an adequate barrier to cerebrospinal fluid.

Authors+Show Affiliations

Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16850962

Citation

Horn, Eric M., et al. "Durectomy and Reconstruction for the Treatment of a Recurrent Spinal Meningioma. Case Report." Journal of Neurosurgery. Spine, vol. 5, no. 1, 2006, pp. 76-8.
Horn EM, Deshmukh VR, Lekovic GP, et al. Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report. J Neurosurg Spine. 2006;5(1):76-8.
Horn, E. M., Deshmukh, V. R., Lekovic, G. P., & Dickman, C. A. (2006). Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report. Journal of Neurosurgery. Spine, 5(1), 76-8.
Horn EM, et al. Durectomy and Reconstruction for the Treatment of a Recurrent Spinal Meningioma. Case Report. J Neurosurg Spine. 2006;5(1):76-8. PubMed PMID: 16850962.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report. AU - Horn,Eric M, AU - Deshmukh,Vivek R, AU - Lekovic,Gregory P, AU - Dickman,Curtis A, PY - 2006/7/21/pubmed PY - 2006/9/13/medline PY - 2006/7/21/entrez SP - 76 EP - 8 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 5 IS - 1 N2 - The management of spinal meningiomas with extensive involvement of the dura mater is controversial. The principal difficulty in performing a resection is the potential for complications associated with this approach. The authors present the case of a pregnant 35-year-old woman in whom bilateral lower-extremity numbness, weakness, gait ataxia, and myelopathy developed. Magnetic resonance imaging showed a recurrent thoracic meningioma with extensive infiltration of the dura mater. Durectomy, complete resection, and reconstruction were performed. The patient has not experienced a recurrence 21 months after her treatment. This case illustrates that thoracic spinal meningiomas with extensive dural involvement can be resected safely with a complete durectomy. The novel dural reconstruction involving the implantation of a fascia lata and bovine pericardium allograft is an effective way to reconstruct the dura to create an adequate barrier to cerebrospinal fluid. SN - 1547-5654 UR - https://www.unboundmedicine.com/medline/citation/16850962/Durectomy_and_reconstruction_for_the_treatment_of_a_recurrent_spinal_meningioma__Case_report_ L2 - https://thejns.org/doi/10.3171/spi.2006.5.1.76 DB - PRIME DP - Unbound Medicine ER -