Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature

Abstract Background Meningiomas are common intradural extramedullary spinal tumors, which arise from arachnoid cap cells in the leptomeninges surrounding the brain or spinal cord. Sensory and motor dysfunction as well as pain were the most common presenting symptoms. Surgical resection remains the p...

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Main Authors: Rongxue Shao, Wei Cheng, Wei Zhang, Jiaming Liang, Liqi Ruan, Chengyue Zhu, Hao Pan
Format: Article
Language:English
Published: SpringerOpen 2024-01-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-023-00781-w
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author Rongxue Shao
Wei Cheng
Wei Zhang
Jiaming Liang
Liqi Ruan
Chengyue Zhu
Hao Pan
author_facet Rongxue Shao
Wei Cheng
Wei Zhang
Jiaming Liang
Liqi Ruan
Chengyue Zhu
Hao Pan
author_sort Rongxue Shao
collection DOAJ
description Abstract Background Meningiomas are common intradural extramedullary spinal tumors, which arise from arachnoid cap cells in the leptomeninges surrounding the brain or spinal cord. Sensory and motor dysfunction as well as pain were the most common presenting symptoms. Surgical resection remains the primary treatment for spinal intradural extramedullary meningiomas. Traditionally, spinal meningiomas excision requires longer skin incision, bilateral subperiosteal muscle stripping, and total laminectomy. We report a new technique for the treatment of thoracic spinal intradural extramedullary meningioma, which involves the use of unilateral biportal endoscopy (UBE) technique to resect the tumor, and reviewed and analyzed relevant literature. Case presentation A 69-year-old female patient presented with back pain accompanied by slowly progressive lower limb paresis, and severe pain in the right lower limb. Magnetic resonance imaging suggests a thoracic spinal intradural extramedullary meningioma. She underwent meningioma resection using UBE technique with complete recovery at the follow-up examination 3 months after surgery. Conclusion This case confirmed the UBE technique can be a good choice for resection of spinal intradural extramedullary meningioma.
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spelling doaj.art-c7d829fef4ea4a2999040cdac44fb9822024-01-21T12:14:36ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-01-016011810.1186/s41983-023-00781-wApplication of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literatureRongxue Shao0Wei Cheng1Wei Zhang2Jiaming Liang3Liqi Ruan4Chengyue Zhu5Hao Pan6Spinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineSpinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese MedicineAbstract Background Meningiomas are common intradural extramedullary spinal tumors, which arise from arachnoid cap cells in the leptomeninges surrounding the brain or spinal cord. Sensory and motor dysfunction as well as pain were the most common presenting symptoms. Surgical resection remains the primary treatment for spinal intradural extramedullary meningiomas. Traditionally, spinal meningiomas excision requires longer skin incision, bilateral subperiosteal muscle stripping, and total laminectomy. We report a new technique for the treatment of thoracic spinal intradural extramedullary meningioma, which involves the use of unilateral biportal endoscopy (UBE) technique to resect the tumor, and reviewed and analyzed relevant literature. Case presentation A 69-year-old female patient presented with back pain accompanied by slowly progressive lower limb paresis, and severe pain in the right lower limb. Magnetic resonance imaging suggests a thoracic spinal intradural extramedullary meningioma. She underwent meningioma resection using UBE technique with complete recovery at the follow-up examination 3 months after surgery. Conclusion This case confirmed the UBE technique can be a good choice for resection of spinal intradural extramedullary meningioma.https://doi.org/10.1186/s41983-023-00781-wMeningiomaUnilateral biportal endoscopyMinimally invasive spine surgerySpinal hypertension syndrome
spellingShingle Rongxue Shao
Wei Cheng
Wei Zhang
Jiaming Liang
Liqi Ruan
Chengyue Zhu
Hao Pan
Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Meningioma
Unilateral biportal endoscopy
Minimally invasive spine surgery
Spinal hypertension syndrome
title Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
title_full Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
title_fullStr Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
title_full_unstemmed Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
title_short Application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma: technical report and review of the literature
title_sort application of unilateral biportal endoscopy technique to resect a thoracic spinal intradural extramedullary meningioma technical report and review of the literature
topic Meningioma
Unilateral biportal endoscopy
Minimally invasive spine surgery
Spinal hypertension syndrome
url https://doi.org/10.1186/s41983-023-00781-w
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