J Korean Neurosurg Soc.  2023 Mar;66(2):219-221. 10.3340/jkns.2022.0125.

Letter to the Editor : Extramedullary Intradural Calcified Meningiomas Surgery in Limited Resources Context

Affiliations
  • 1Department of Neurosurgery, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, DRC
  • 2Department of Surgery, University Hospital of Kisangani, University of Kisangani, Kisangani, DRC
  • 3Jason Sendwe General Provincial Hospital, Lubumbashi, DRC


Figure

  • Fig. 1. Preoperative sagittal magnetic resonance images of case 1 (A), 2 (B) and 3 (C). T2 weighted image shows an intradural and extramedullary meningioma (blue arrow in A, B; white arrow in C).

  • Fig. 2. Intraoperative images showing. A : The posterior approach. B : The spinous processes resection and laminectomy (blue arrow). C : The dural opening through a longitudinal incision and the detachment and removal of the meningioma with the internal layer according to Saito et al.6). D : The meningioma mass resected. E and F : A watertight suture of the dural superficial sheet (blue arrow).

  • Fig. 3. A and B: Histopathology picture shows numerous calcification foci (psammomas) (black arrow) (A : Hematoxylin and Eosin [H&E] staining, ×10; B : H&E staining, ×40).


Reference

References

1. Apostolov G, Kehayov I, Kitov B. Clinical aspects of spinal meningiomas: a review. Folia Med (Plovdiv). 63:24–29. 2021.
2. Cohen-Gadol AA, Zikel OM, Koch CA, Scheithauer BW, Krauss WE. Spinal meningiomas in patients younger than 50 years of age: a 21-year experience. J Neurosurg. 98(3 Suppl):258–263. 2003.
3. Kim JY, Min WK, Kim JE, Park KH, Mun JU. Two case reports of calcified spinal meningioma and a literature review. J Korean Soc Spine Surg. 23:227–233. 2016.
4. Kobayashi K, Ando K, Matsumoto T, Sato K, Kato F, Kanemura T, et al. Clinical features and prognostic factors in spinal meningioma surgery from a multicenter study. Sci Rep. 11:11630. 2021.
5. Miyakoshi N, Hongo M, Kasukawa Y, Shimada Y. En-bloc resection of thoracic calcified meningioma with inner dural layer in recapping T-saw laminoplasty: a case report. BMC Surg. 15:82. 2015.
6. Saito T, Arizono T, Maeda T, Terada K, Iwamoto Y. A novel technique for surgical resection of spinal meningioma. Spine (Phila Pa 1976). 26:1805–1808. 2001.
7. Tominaga H, Kawamura I, Ijiri K, Yone K, Taniguchi N. Surgical results of the resection of spinal meningioma with the inner layer of dura more than 10 years after surgery. Sci Rep. 11:4050. 2021.
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