Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report.
Publication/Presentation Date
7-1-2006
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.
Volume
5
Issue
1
First Page
76
Last Page
78
ISSN
1547-5654
Published In/Presented At
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), 76–78. https://doi.org/10.3171/spi.2006.5.1.76
Disciplines
Medicine and Health Sciences
PubMedID
16850962
Department(s)
Department of Surgery Faculty
Document Type
Article