Méningiomes rachidiens : une série de 55 cas

Romdhane, Asma Ben; André, A.; Clemenceau, Stéphane; Kalamaridès, Michel; Carpentier, Alexandre; Cornu, P

doi:10.1016/j.neuchi.2016.11.058

Cited by 2 publications

(5 citation statements)

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“…In our patient the lesion was dorsal and of left postero lateral localization in agreement with our study. Romandhane [32] found that 75% lateral localization but in 42% at the ventral level and 35% at the dorsal level. An aspect of dural tail in 9 cases (19.14%) with myelopathy in 6 cases (12.76%) was also found.…”

Section: -Neuroimagingmentioning

confidence: 98%

“…Radiologically, extra dural spinal meningiomas suggest, a metastasis tumor in 40.42% (N = 19) is iso intense T1 sequences and hyper T2 with homogeneous contrast enhancement and body and pedicle lysis. Lymphoma or tuberculoma was suggested in 34.04% (N = 16) by iso intensy and hyperintensy in T2-T1 sequencies with homogeneous against 50% suggesting lymphoma for Vargas and Lai [31][32] . In 21.27% (N = 10) of cases the lesion evokes a schwannoma by the T1 sequency Hypo intensy and hyper intensy T2 with heterogeneous contrast enhancement seems a cavernous hemangioma in 3 cases (6.23%), a lipoma hemangioma in 3 cases (6.23%), hemangiopericytoma in 2 cases (4.25%), pott's disease with granuloma in 4 cases (8.51%).…”

Section: -Neuroimagingmentioning

confidence: 99%

“…The objectives are radical treatment of spinal meningioma, a complete resection of the tumor and decompression of the marrow. To confirm the diagnosis after a histological examination of the surgical specimen, consequently improve the patient's life quality and have good functional results [32] . All of the 78 patients were treated surgically.…”

Section: -Surgical Managementmentioning

confidence: 99%

“…Total excision was performed in 54 cases out of 78 cases, (69.23%) of Sympson I in agreement of King"s study [24] as well as Solero and all [6] who respectively found Sympson I excision in 74 % and 96.5%. On the other hand, Liang Wu found Sympson I excision in 33.33% versus 66.67% Sympson II excision for cervical meningiomas because of the stranglehold of the vertebral arteries in the lesion [35,36] The using of cavitron is noted in (2 cases) 2.56% especially by Suzuki and Takeuchi [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] . The using of laser and cavitron in 2 cases were noted by Roux and King [19][20][21][22][23][24] .…”

Section: -Surgical Managementmentioning

confidence: 99%

“…For Romandhane [32] on a serie of 55 patients admitted for spinal meningiomas, radiotherapy was made in 4% of cases in combination with surgery. A recurrence rate was 11%.…”

Section: -Radiotherapymentioning

confidence: 99%

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A Rare Case of Extra Dural Dorsal Meningioma; Case Report and Analytique Review of Literature about 77 Cases

Koffi¹,

Salami

Elkacemi

et al. 2021

ijirms

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Spinal meningiomas are usually intra dural tumors, the purely extra dural localization is exceptional, they are easily mistaken for malignant tumor resulting in inadequate management. Only 77 cases have been reported in the literature. Less than 28 cases have been confirmed after durotomy since 1898. We report a new observation followed by an analytical review of the literature with a study of the socio-epidemiological, radiological parameters and of the neurosurgical and progressive management of extra dural spinal meningiomas. Observation: a 57-year-old, female patient with no medical history was admitted to our training for slow dorsal spinal cord compression progression since 06 months. Neurological examination found FRANKEL stage C paraplegia, higher level D7 hypoaesthesia without sphincter disorders. The medullary MRI objectified an intraspinal process of 1.5x2x1cm, well limited, of the right posterolateral of D8-D9 causing compression of the dorsal cord with an intramedullary hyper signal in T2. The D8-D9 laminectomy was performed. Surgical exploration found an extra dural lesion without intra dural extension. The excision was macroscopically complete. Histological examination was in favor of a benign meninigothelial. The post-operative course was marked by a partial and progressive recovery of the neurological deficit and no recurrence. Discussion: the retrospective analysis of literature about 49 publications was founded that, the incidence in 1933 by Elsberg was 5.5%, Haft in 1963 found 3.5%. In 2020 our study found 3.46% of all spine meningioma. The mean age is 44.19 years [8 years -85 years] with a female predominance of 2/1. The mode of revelation is in 11.53% of fortuitous discovery, in 59.93% by the high state of spinal cord compression stage C of FRANKEL. The topography is dorsal = 51.31%, cervical = 44.76%. MRI scan has been use since 1996 at 67.60%. Laminectomy was performed in 71.79% with durotomy in 11%. The excision is complete with SIMPSON I in 70% and SYMPSON III in 27%. The predominant histological is a grade 1 of meningioma = 73.41%, grade 2 = 6.32%, grade 3 = 1.26% in 19 % meningioma was not specified by the authors. Conclusion: The prognosis of extra dural spinal meningiomas according to our study is good overall with only 3 cases of recurrence of spinal meningioma in 36 patients, or 8.33% after a mean follow-up of 31.59 months [1 -168 months] with P=0,012.

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Section: -Neuroimagingmentioning

confidence: 98%

Section: -Neuroimagingmentioning

confidence: 99%

Section: -Surgical Managementmentioning

confidence: 99%

Section: -Surgical Managementmentioning

confidence: 99%

“…For Romandhane [32] on a serie of 55 patients admitted for spinal meningiomas, radiotherapy was made in 4% of cases in combination with surgery. A recurrence rate was 11%.…”

Section: -Radiotherapymentioning

confidence: 99%

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