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

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)76-78
Number of pages3
JournalJournal of Neurosurgery: Spine
Volume5
Issue number1
DOIs
StatePublished - Jul 2006
Externally publishedYes

Fingerprint

Meningioma
Dura Mater
Thorax
Gait Ataxia
Fascia Lata
Hypesthesia
Spinal Cord Diseases
Pericardium
Allografts
Cerebrospinal Fluid
Lower Extremity
Therapeutics
Magnetic Resonance Imaging
Recurrence

Keywords

  • Dural infiltration
  • Dural reconstruction
  • Recurrent meningioma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Durectomy and reconstruction for the treatment of a recurrent spinal meningioma : Case report. / Horn, Eric; Deshmukh, Vivek R.; Lekovic, Gregory P.; Dickman, Curtis A.

In: Journal of Neurosurgery: Spine, Vol. 5, No. 1, 07.2006, p. 76-78.

Research output: Contribution to journalArticle

Horn, Eric ; Deshmukh, Vivek R. ; Lekovic, Gregory P. ; Dickman, Curtis A. / Durectomy and reconstruction for the treatment of a recurrent spinal meningioma : Case report. In: Journal of Neurosurgery: Spine. 2006 ; Vol. 5, No. 1. pp. 76-78.
@article{7f9bdcfb18ae4171b260a200aae67eb6,
title = "Durectomy and reconstruction for the treatment of a recurrent spinal meningioma: Case report",
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.",
keywords = "Dural infiltration, Dural reconstruction, Recurrent meningioma",
author = "Eric Horn and Deshmukh, {Vivek R.} and Lekovic, {Gregory P.} and Dickman, {Curtis A.}",
year = "2006",
month = "7",
doi = "10.3171/spi.2006.5.1.76",
language = "English (US)",
volume = "5",
pages = "76--78",
journal = "Journal of Neurosurgery: Spine",
issn = "1547-5654",
publisher = "American Association of Neurological Surgeons",
number = "1",

}

TY - JOUR

T1 - Durectomy and reconstruction for the treatment of a recurrent spinal meningioma

T2 - Case report

AU - Horn, Eric

AU - Deshmukh, Vivek R.

AU - Lekovic, Gregory P.

AU - Dickman, Curtis A.

PY - 2006/7

Y1 - 2006/7

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.

AB - 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.

KW - Dural infiltration

KW - Dural reconstruction

KW - Recurrent meningioma

UR - http://www.scopus.com/inward/record.url?scp=33748455895&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748455895&partnerID=8YFLogxK

U2 - 10.3171/spi.2006.5.1.76

DO - 10.3171/spi.2006.5.1.76

M3 - Article

C2 - 16850962

AN - SCOPUS:33748455895

VL - 5

SP - 76

EP - 78

JO - Journal of Neurosurgery: Spine

JF - Journal of Neurosurgery: Spine

SN - 1547-5654

IS - 1

ER -