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KMID : 1141120180040020037
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The Nerve
2018 Volume.4 No. 2 p.37 ~ p.41
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The Clinical and Radiological Outcome of Cervical Spinal Meningioma
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Lee Yong-Jun
Jung Jong-Myung
Hyun Seung-Jae
Kim Ki-Jeong
Jahng Tae-Ahn
Kim Hyun-Jib
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Abstract
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Objective: We aimed to present the clinical and radiological outcomes of 22 cases of cervical spinal meningiomas.
Method: We retrospectively reviewed 22 patients who were diagnosed with cervical meningioma histologically from May 2003 to May 2017. Their pre- and postoperative clinical features were evaluated by the Japanese Orthopaedic Association (JOA) scale and Neck Disability Index (NDI).
Results: There were 6 male and 16 female patients. The mean age was 60 years (20-73 years). The most common preoperative symptom was paresthesia in 15 patients. The craniocaudal tumor extension of less than 3 levels was found in 18 patients. More than 50% of spinal canal compression was observed in 16 patients. Most common location of the dural attachment of the tumor was ventrolateral (54.5%), followed by dorsolateral (18.2%), lateral (13.6%), ventral (9.1%) and dorsal (4.5%) order. Extradural tumor extension was observed in 5 patients. Simpson grade II resection was the most common, with 16 patients. The mean JOA scales were significantly improved from 13.8±2.6 to 15.9±1.0 at postoperative one year (p=0.0004). The mean NDI showed the same results (from 14.6±8.2 to 8.4±6.6; p=0.0005). One patient with Simpson grade IV resection received adjuvant radiotherapy. Two patients had a recurrence of the tumor, one with Simpson grade II resection and the other with Simpson grade III resection.
Conclusion: The surgery is the recommended treatment in cases of cervical spinal meningiomas because of its excellent functional improvement and low recurrence rates.
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KEYWORD
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Cervical vertebrae, Meningioma, Recurrence, Spinal neoplasms
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