Demographics & Inferences of Spinal Meningioma

Alqroom Y. Rami; Fayyad M. Luma; Abu Salma A. Zuhair; Ma�aya S. Alhareth; Al–lozi A. Rakan; Al Shurbaji A. Amer

Volume : VI, Issue : V, May - 2017

Demographics & Inferences of Spinal Meningioma

Alqroom Y. Rami, Fayyad M. Luma, Abu Salma A. Zuhair, Ma Aya S. Alhareth, Al Lozi A. Rakan, Al Shurbaji A. Amer

Abstract :

Introduction: Spinal meningiomas are benign tumors with a wide spectrum of clinical and radiological features. They compromise 7.5–12.7% of all meningiomas and approximately 25% – 46% of primary spinal tumors [1.2]. As we still need studies to provide an insight into the demographic features, clinical presentation, histopathology, and management, this study was carried out. Objectives: This study highlights the demographic features, clinical presentation, histopathology and management. Results: In a cohort of 87 treated patients, the majority were women (70), representing 80.5% of patients. The mean age was 50.4 for women, and 49.9 for men. The Mean follow–up was 37 months (14–149 months). Demographic features detailed in Table 1. Clinical presentation: Neurogenic pain in 78.2% of patients, neurological deficits in 34 persons (39.1%) was found during preoperative neurological examination. Radiological examination showed that all lesions were intradural with predilection to the thoracic spine 63.2%. Surgical results were complete excision in all cases except one, 10.3% Complication rate. Histopathological examination showed all the specimens to be of grade WHO–I meningiomas, except in 3–cases 3.4% found to be grade who–II. Conclusions: This is a retrospective study of spinal meningioma with a long–term follow–up. Being an uncommon disease entity with a discrete pathology and symptomatology. This study provides a representative review due to an adequate number of cases and a sufficient follow–up. The results of our study are in line with the reported literature in terms of epidemiology, histology, clinical manifestations with minor differences.