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Is the complete excision of circumferential intradural spinal meningiomas achievable?
1Department of Neurosurgery, Addenbrooke's Hospital, Cambridge University Hospitals, Box 166, Hills Road, Cambridge, CB20QQ, UK. spinalneuro@gmail.com.
Background:
Circumferential intradural spinal meningiomas are exceptionally rare. They pose several surgical challenges and a complete excision is not easy. The aim of this study is to provide surgical strategies to facilitate a full excision of such tumors.
Methods:
A fully circumferential intradural meningioma at T9/10 was fully removed via a posterior approach and a structured single procedure, with no intra or perioperative complications.
Conclusions:
Complete removal of circumferential spinal meningiomas can be achieved with wise preoperative planning, familiarity with techniques needed to transpose the spinal cord, and a structured staged excision of the four components of these tumors.
