Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Spinal-thoracic dumbbell meningioma - A case report
Autore:
Buchfelder, M; Nomikos, P; Paulus, W; Rupprecht, H;
Indirizzi:
Univ Erlangen Nurnberg, Neurochirurg Klin Poliklin, Dept Neurosurg, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany Univ Munster, Inst Neuropathol, D-4400 Munster, Germany Univ Munster Munster Germany D-4400 Neuropathol, D-4400 Munster, Germany Univ Erlangen Nurnberg, Dept Surg, D-91054 Erlangen, Germany Univ ErlangenNurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany
Titolo Testata:
SPINE
fascicolo: 13, volume: 26, anno: 2001,
pagine: 1500 - 1504
SICI:
0362-2436(20010701)26:13<1500:SDM-AC>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
PULMONARY MENINGIOMA; EXTRASPINAL MENINGIOMA; TUMORS;
Keywords:
cervicothoracic spine; dumbbell-tumor; mediastinumy thoracotomy; meningioma;
Tipo documento:
Editorial Material
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Buchfelder, M Univ Erlangen Nurnberg, Neurochirurg Klin Poliklin, Dept Neurosurg, Schwabachanlage 6, D-91054 Erlangen, Germany Univ Erlangen NurnbergSchwabachanlage 6 Erlangen Germany D-91054
Citazione:
M. Buchfelder et al., "Spinal-thoracic dumbbell meningioma - A case report", SPINE, 26(13), 2001, pp. 1500-1504

Abstract

Study Design. Total excision of a large dumbbell cervicothoracic intra- and extraspinal meningioma that had grown into the posterior mediastinum is described. This excision involved a two-step neurosurgical-thoracosurgical procedure within a short interval. Objectives. To document that the described laminectomy and thoracotomy techniques are adequate, safe, and effective for the treatment of this intra- and extraspinal meningioma lesion. Summary of Background Data. The management of intra- and extraspinal dumbbell tumors is based on anecdotal reports of mostly neurinomas, and thus remains a controversial issue. Even large series of spinal meningiomas lack adequate information on how best to treat large cervicothoracic meningiomas. Methods. The authors have modified standard techniques used for resection of spinal and mediastinal tumors, respectively, adapting them for a large, invasive dumbbell meningioma in a 72-year-old lady. The patient initially underwent laminectomy and microsurgical excision of the intraspinal tumor portions encasing vascular structures. A week thereafter, a thoracotomy was per formed, and the mediastinal tumor portions were removed completely. Results. Restitution was remarkably good. The patient, who had been unableto walk on her own, regained some mobility. At this writing, she was able to walk considerable distances without support. There was no evidence of tumor recurrence during a follow-up interval of 3 years. Conclusions, The authors recommend a two-staged procedure for complete excision of a large spinal-thoracic meningioma. Even in elderly patients with major neurologic deficits, an impressive recovery can be achieved with suchlesions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 08:22:06