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)
-
Mindaugas Gailiušas,
Judita Andrejaitienė,
Edmundas Širvinskas,
Darijus Krasauskas,
Milda Švagždienė,
Birutė Kumpaitienė,
Association between serum biomarkers and postoperative delirium after cardiac surgery
,
Acta medica Lituanica: Vol. 26 No. 1 (2019): Acta Medica Lituanica
-
Paulina Tekoriutė,
Monika Matuliauskaitė,
Laimas Virginijus Jonaitis,
Drug-Induced Intersticial Nephritis. Clinical Case
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Audrius Untanas,
Mantas Trakymas,
Indrė Lekienė,
Rūta Briedienė,
Von Hippel-Lindau syndrome and renal tumours: radiological diagnostic and treatment options. A case report and literature review
,
Acta medica Lituanica: Vol. 27 No. 1 (2020): Acta medica Lituanica
-
Emrah Doğan,
Sabri Serhan Olcay,
Tuba Çınar Olcay,
Utku Tapan,
Ozge Oral Tapan,
Fatih Alaşan,
A case of post-COVID-19 fibrosis mimicking Thoracic Manifestation of Ankylosing Spondylitis.
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Vasiliki Epameinondas Georgakopoulou,
Georgios Petsinis,
Konstantinos Mantzouranis,
Christos Damaskos,
Despoina Melemeni,
Aikaterini Gkoufa,
Serafeim Chlapoutakis,
Nikolaos Garmpis,
Pagona Sklapani,
Nikolaos Trakas,
Xanthi Tsiafaki,
First Detection of Human Coronavirus HKU1 in Greece, in an Immunocompromised Patient With Severe Lower Respiratory Tract Infection
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Aurelija Kemežytė,
Dario Piombino-Mascali,
Bioarchaeological Notes on the Commingled Human Remains Held in the Church of Saint Francis of Paola, Sant’Angelo di Brolo, Sicily, Italy
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Eleonora Ivanova,
Beata Vincel,
Gilvydas Verkauskas,
Faruk Hadziselimovic,
Gubernaculum and Epididymo-Testicular Descent: Review of the Literature
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Vasiliki Epameinondas Georgakopoulou,
Aikaterini Gkoufa,
Aikaterini Aravantinou,
Nikolaos Garmpis,
Konstantinos Mantzouranis,
Serafeim Chlapoutakis,
Pagona Sklapani,
Anna Garmpi,
Nikolaos Trakas,
Christos Damaskos,
Hemoptysis in Renal Transplant Recipients
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Tara Prasad Tripathy,
Yashwant Patidar,
Karamvir Chandel,
Annapoorani Varadarajan,
Vikrant Sood,
Shalini Thapar Laroia,
Embryonal Rhabdomyosarcoma of the Biliary Tree as a Differential in a Paediatric Patient Presenting with Biliary Dilatation: Not Always a Choledochal Cyst
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Pranjal Phukan,
Kalyan Sarma,
Donboklang Lynser,
Barun Kumar Sharma,
Deb Kumar Baruah,
Bishwajit Saikia,
Binoy Kumar Singh,
Endovascular Parent Artery Occlusion for Intracranial Aneurysms is a Viable, Cost-Effective Alternative: An Institutional Experience from Northeast India
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica