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. 2020 Oct 2:11:321.
doi: 10.25259/SNI_575_2020. eCollection 2020.

Delayed recovery from paraplegia following resections of thoracic meningiomas

Ahmed Ashry  1 , Ayman Tarek Mahmoud  1 , Mohamed Gabr  1
Affiliations

Delayed recovery from paraplegia following resections of thoracic meningiomas

Ahmed Ashry et al. Surg Neurol Int. .

Abstract

Background: In this retrospective study, we evaluated the patterns of postoperative recovery for patients who were initially paraplegic before the excision of thoracic spine meningiomas. We also determined how the various prognostic factors impacted outcomes.

Methods: Twenty patients with paraplegia underwent surgical excision of thoracic spine meningiomas at 2016- 2019. Patients' demographics, clinical, radiological data, operative details, histopathology, and postoperative complications were recorded; patients were reassessed at 6 months and 1 year postoperatively.

Results: Fourteen patients improved postoperatively, becoming, ambulatory with/without assistance; only six remained paraplegic. Poor prognostic factors for postoperative motor recovery included larger tumor size, longer duration of preoperative symptoms/paraplegia, and greater severity of sensory loss.

Conclusion: For 6/20 patients with thoracic meningiomas, poor postoperative recovery of motor function correlated with larger tumor size, longer duration of preoperative symptoms/paraplegia, and more severe sensory loss.

Keywords: Meningioma; Outcome; Paraplegic; Spinal; Surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
(a) Sagittal view of MRI thoracic spine with contrast showing T7 meningioma (b) Intraoperative view showing a spinal meningioma compressing the spinal cord (c) Intraoperative view after complete excision of the lesion and coagulation of the dural attachment.
See this image and copyright information in PMC

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