Research Article
Volume 14 Issue 5 - 2022
Management of Intraspinal Meningiomas in the Neurosurgery Department, CHU Med VI, Marrakech, about 36 Cases
L Eddarraz*, A Griche, F Hajhouji, M Laghmari, H Ghannane and S Ait Benali
Neurosurgery Department, ARRAZI Hospital, CHU Mohamed VI, Cadi Ayyad University, Faculty of Medicine, Marrakech, Morocco
*Corresponding Author: L Eddarraz, Neurosurgery Department, ARRAZI Hospital, CHU Mohamed VI, Cadi Ayyad University, Faculty of Medicine, Marrakech, Morocco.
Received: February 02, 2022; Published: April 28, 2022




Abstract

Spinal meningioma are rare tumor, about 5% of central nervous system tumors, and generally benign. Their origin is most often a solitary proliferation of arachnoid cells. The descriptive and analytical purpose of our study is to draw up the epidemiological, clinical, para clinical, therapeutic and evolutionary profiles of spinal meningioma in our formation and to compare our results with data from the literature. This will allow us to focus on the difficulties encountered during the diagnosis and management of this disease. This is a retrospective study of 36 cases of spinal meningioma operated in the neurosurgery department of CHU Mohamed VI, between January 2002 and December 2020. Spinal meningioma represented 17% of slow spinal cord compression operated during the same period. With an annual incidence of 1.8 cases/year, the female predominance was very clear with a percentage of 77.78% against 22.23% for men. The average age of our patients was 50 years old with extremes ranging from 28 to 72 years old. Clinically, the consultation time was on average 6 months with extremes ranging between 1.5 months and 02 years. The clinical examination was able to objectify a spinal cord compression syndrome in 31 patients (86.11%), a lesion syndrome in 13 patients (36.11%) and a sub-lesion syndrome in 20 patients (90.9%). Spinal magnetic resonance imaging is the most effective examination for locating the tumor and recommending treatment. It was performed in all our patients. The most frequent locations are at the thoracic level (55%), then lumbar (28%) and cervical (17%). In our study, almost all patients underwent complete resection, except 04 patients where the resection was partial. All were done posteriorly. Spinal meningioma is characterized by the poverty and non-specificity of clinical signs, this aspect seems to be illustrated in our series, by the average admission time of 6 months and a diagnostic delay exceeding 6 months in 42.85% of cases. Spinal meningioma evolves gradually, resulting in clinical signs of slow cord compression. Spinal meningiomas are usually benign tumors that develop from arachnoid cells. Their diagnosis is mainly based on magnetic resonance imaging. Their care should not suffer any delay and this from the onset of the first symptoms.

 

Keywords: Spinal Meningioma; Spinal Cord Compression Syndrome; Magnetic Resonance Imaging; Surgical Excision

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Citation: L Eddarraz., et al. “Management of Intraspinal Meningiomas in the Neurosurgery Department, CHU Med VI, Marrakech, about 36 Cases”. EC Neurology 14.5 (2022): 48-54..

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