Spinal Intradural Meningioma and Neurofibroma: Personal Experience ,Clinical Presentation,Surgical Outcome


ABSTRACT:BACKGROUND:Meningiomas and neurofibromas are the most common intraduralextramedullary tumors of of the spineOBJECTIVE:To study the incidence ,behavior and surgical outcome of intradural meningioma and neurofibroma .METHODS:This study was undertaken to analyze the 48 cases of intraduralmeningiomas and neurofibromas between January 1995 and December 2014 a total of 48 patients underwent surgical resection of a spinal meningioma and intraduralneurofibromas. 24 cases of meningiomaThere were 14 female and 10 male patients.24cases of neurofibroma 13 male & 11 female Age ranged from 20 to 70 years .The mean follow-up period was 50 months (range 1–116 months) including a complete neurological examination and postoperative MRI studies. The pre- and postoperative neurological state .RESULTS:Surgery was performed under standard microsurgical conditions with neurophysiological monitoring if needed. In meningioma, 11 the lesion was located in the thoracic region, in 6 in the cervical region, in 1 at the cervico-thoracic junction, in 1 at the thoraco-lumbar junction and in 5 in the lumbar region..Neurofibromas in24patient 13male and 11 female in10 the lesion was located in the thoracic region, in 8 in the cervical region, and in 5 in the lumbar region,1 in the thoraco-lumbar .Surgical resection was complete in 46 patients and subtotal in 2patients.At the last follow-up the neurological state was improved or unchanged in 46 and worse in 2 patients in menigiomas .CONCLUSION:resection of spinal meningiomas and neurofibromas can be performed with good functional outcome