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  • Title: Durectomy and reconstruction for the treatment of a recurrent spinal meningioma. Case report.
    Author: Horn EM, Deshmukh VR, Lekovic GP, Dickman CA.
    Journal: J Neurosurg Spine; 2006 Jul; 5(1):76-8. PubMed ID: 16850962.
    Abstract:
    The management of spinal meningiomas with extensive involvement of the dura mater is controversial. The principal difficulty in performing a resection is the potential for complications associated with this approach. The authors present the case of a pregnant 35-year-old woman in whom bilateral lower-extremity numbness, weakness, gait ataxia, and myelopathy developed. Magnetic resonance imaging showed a recurrent thoracic meningioma with extensive infiltration of the dura mater. Durectomy, complete resection, and reconstruction were performed. The patient has not experienced a recurrence 21 months after her treatment. This case illustrates that thoracic spinal meningiomas with extensive dural involvement can be resected safely with a complete durectomy. The novel dural reconstruction involving the implantation of a fascia lata and bovine pericardium allograft is an effective way to reconstruct the dura to create an adequate barrier to cerebrospinal fluid.
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