Abstract
Object. The aim of this report is to evaluate the predictive factors of poor functional outcome in spinal cord meningioma surgery.
Materials and methods. One hundred patients with spinal cord meningioma (14 men and 86 women at the age of 13–87) operated in our Neurosurgical Clinic were analyzed. Statistical data analysis evaluated the importance of symptoms, duration and neurological status before surgery and meningioma localization according to the spinal cord axis for the results of surgery.
Results. Total tumour removal was achieved in 92 and subtotal in 8 cases. In the early postoperative period, 61% of patients recovered and improved. The results of surgery reliably depended on the duration of symptoms before operation (p = 0.05). The risk of unimprovement prevailed in patients with paraplegia in comparison with other motor deficits. The risk of poor outcome increased with a 95% confidence index when tumour localization was ventral and caudal as compared with the dumbbell, dorsal and epidural localization taken together. Mortality was 3% after the subtotal removal of tumour, and in 3% of cases neoplasma recurred. The mean follow up was 1–22 years. The outcome at the last followup was good in 50% of cases.
Conclusions. Functional outcome after surgery reliably dependeds on: 1) the duration of symptoms before hospitalization (with a poor outcome when the duration of illness was more than 3 years); 2) the preoperative neurological condition of patients (a poor prognosis in paraplegic patients); 3) tumour localization with respect to the spinal cord axis (risk of unimprovement when the tumour was of ventral and caudal localization).
Keywords: meningioma of spinal cord, surgery, outcome, predictive factors, late prognosis
Downloads
Download data is not yet available.
Most read articles by the same author(s)
-
Neda Gendvilaitė,
Dmitrij Šeinin,
Laurynas Beržanskas,
Tomas Poškus,
Solitary Fibrous Tumor of the Peritoneal Cavity and Greater Omentum: Case Report and Review of the Literature
,
Acta medica Lituanica: Vol. 30 No. 1 (2023): Acta medica Lituanica
-
Zanna Kovalova ,
Anda Kivite-Urtane,
Jelena Rascon ,
Audronė Mulevičienė ,
Goda Elizabeta Vaitkevičienė ,
Kajus Merkevičius ,
Eglė Stukaitė-Ruibienė,
Sonata Šaulytė Trakymienė,
Supplement
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Konstantinos Mantzouranis,
Vasiliki Epameinondas Georgakopoulou,
Serafeim Chlapoutakis,
Despoina Melemeni,
Christos Damaskos,
Nikolaos Garmpis,
Pagona Sklapani,
Nikolaos Trakas,
Xanthi Tsiafaki,
Atypical Fibroxanthoma: An unexpected cause of hemoptysis
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Arūnas Valiulis,
Children’s Doctors Against the War: Call for Action Now
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Ignas Trainavičius,
Darius Dasevičius,
Birutė Burnytė,
Robertas Kemežys,
Gilvydas Verkauskas,
Early Bilateral Gonadoblastoma in a Patient with Mixed Gonadal Dysgenesis (Karyotype 45,X/46,XY): Case Report and Review of Literature
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Marius Anglickis,
Gediminas Platkevičius,
Rokas Stulpinas,
Lina Miklyčiūtė,
Giedrė Anglickienė,
Vytautas Keina,
Edmundas Štarolis,
Audrius Gradauskas,
Giant prostatic hyperplasia and its causes
,
Acta medica Lituanica: Vol. 26 No. 4 (2019): Acta Medica Lituanica
-
Justas Simonavičius,
Dalia Jarašūnienė,
Angina pectoris and sinus of Valsalva aneurysm: a rare manifestation of an uncommon disease
,
Acta medica Lituanica: Vol. 25 No. 4 (2018)
-
Diana Bužinskienė,
Gintautas Domža,
Justyna Dulko,
Miglė Olšauskaitė,
Gražina Drąsutienė,
Daina Liekienė,
Valvular heart disease during pregnancy: a clinical case and a literature review
,
Acta medica Lituanica: Vol. 25 No. 3 (2018)
-
Rokas Šerpytis,
Lina Puodžiukaitė,
Saulius Petrauskas,
Nerijus Misonis,
Mantas Kurminas,
Aleksandras Laucevičius,
Pranas Šerpytis,
Outcomes of a percutaneous coronary intervention versus coronary artery bypass grafting in octogenarians
,
Acta medica Lituanica: Vol. 25 No. 3 (2018)
-
Jadvyga SUBAČIŪTĖ,
Spinal meningioma surgery: predictive factors of outcome
,
Acta medica Lituanica: Vol. 17 No. 3-4 (2010)