Durectomy and reconstruction for the treatment of a recurrent spinal meningioma: Case report

Eric M. Horn, Vivek R. Deshmukh, Gregory P. Lekovic, Curtis A. Dickman

Research output: Contribution to journalArticle

9 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)76-78
Number of pages3
JournalJournal of Neurosurgery: Spine
Issue number1
StatePublished - Jul 1 2006


  • Dural infiltration
  • Dural reconstruction
  • Recurrent meningioma

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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