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Is the complete excision of circumferential intradural spinal meningiomas achievable?

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BackgroundCircumferential intradural spinal meningiomas are exceptionally rare. They pose several surgical challenges and a complete excision is not easy. The aim of this study is to provide surgical strategies to… Click to show full abstract

BackgroundCircumferential intradural spinal meningiomas are exceptionally rare. They pose several surgical challenges and a complete excision is not easy. The aim of this study is to provide surgical strategies to facilitate a full excision of such tumors.MethodsA fully circumferential intradural meningioma at T9/10 was fully removed via a posterior approach and a structured single procedure, with no intra or perioperative complications.ConclusionsComplete removal of circumferential spinal meningiomas can be achieved with wise preoperative planning, familiarity with techniques needed to transpose the spinal cord, and a structured staged excision of the four components of these tumors.

Keywords: spinal meningiomas; complete excision; excision; circumferential intradural; intradural spinal

Journal Title: Acta Neurochirurgica
Year Published: 2017

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