Spinal meningioma surgery

• A de novo meningioma with rapid growth: A possible malignancy imposter?
• Comparative analysis of facial nerve outcomes in petroclival versus posterior petrous meningioma surgery: A systematic review and meta-analysis of 2884 patients
• Transient cortical blindness following occipital lobe retraction in a pineal region meningioma resection
• Mixed reality holographic navigation for intracranial lesions using HoloLens 2: A pilot study and literature review
• Advancing Neurosurgical Oncology and AI Innovations in Latin American Brain Cancer Care: Insights from a Center of Excellence
• Predicting intraoperative meningioma consistency using features from standard MRI sequences: a preoperative evaluation
• The dural tail in intracranial meningioma: Heads up or tail down? A systematic review of the literature
• Simultaneous surgical management of a giant tuberculum sellae meningioma and pregnancy-related complications: a case report and literature review

Onken et al., reported on their surgical experience that involves two institutions in which 207 patients underwent surgery for spinal meningiomas (sMNGs) . Special focus was placed on patients with sMNGs localized anterior to the denticulate ligament (aMNGs) that were treated via a unilateral posterior approach (ULPA).

The duration of surgery, extent of resection, and outcomes are comparable between aMNGs and posterior to the denticulate ligament (pMNGs) when removed via a ULPA. Thus, ULPA represents a safe route to achieve a gross-total resection, even in cases of aMNG ¹⁾.

Posterior approaches provide adequate exposure to safely remove ventrally located spinal meningioma. Posterior exposures with lateral bone resection, denticulate ligament division, provide also adequate exposure for safe removal ²⁾.

Early surgical intervention for SM, before the development of severe neurological deficits, should be considered as it is associated with a favorable neurological outcome and quality of life ³⁾.

Spinal meningioma surgical technique.