scholarly journals Spinal meningiomas: surgical management and outcome

2003 ◽  
Vol 14 (6) ◽  
pp. 1-7 ◽  
Author(s):  
Oren N. Gottfried ◽  
Wayne Gluf ◽  
Alfredo Quinones-Hinojosa ◽  
Peter Kan ◽  
Meic H. Schmidt
Keyword(s):  
Magnetic Resonance Imaging ◽  
Functional Outcomes ◽  
Surgical Techniques ◽  
Functional Improvement ◽  
Resonance Imaging ◽  
Single Institution ◽  
Spinal Meningioma ◽  
Spinal Meningiomas ◽  
Operative Microscope ◽  
Analyze Data

Advances in imaging and surgical technique have improved the treatment of spinal meningiomas; these include magnetic resonance imaging, intraoperative ultrasonography, neuromonitoring, the operative microscope, and ultrasonic cavitation aspirators. This study is a retrospective review of all patients treated at a single institution and with a pathologically confirmed diagnosis of spinal meningioma. Additionally the authors analyze data obtained in 556 patients reported in six large series in the literature, evaluating surgical techniques, results, and functional outcomes. Overall, surgical treatment of spinal meningiomas is associated with favorable outcomes. Spinal meningiomas can be completely resected, are associated with postoperative functional improvement, and the rate of recurrence is low.

Clinical Implications of Bone Bruise Patterns Accompanying Anterior Cruciate Ligament Tears

2021 ◽  
pp. 194173812110295
Author(s):  
Patrick Ward ◽  
Peter Chang ◽  
Logan Radtke ◽  
Robert H. Brophy
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anterior Cruciate Ligament ◽  
Magnetic Resonance ◽  
Functional Outcomes ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Bone Bruise ◽  
Resonance Imaging ◽  
Bone Bruises ◽  
Anterior Cruciate

Background: Anterior cruciate ligament (ACL) tears are common injuries; they are often associated with concomitant injuries to other structures in the knee, including bone bruises. While there is limited evidence that bone bruises are associated with slightly worse clinical outcomes, the implications of bone bruises for the articular cartilage and the risk of developing osteoarthritis (OA) in the knee are less clear. Recent studies suggest that the bone bruise pattern may be helpful in predicting the presence of meniscal ramp lesions. Evidence Acquisition: A literature review was performed in EMBASE using the keyword search phrase (acl OR (anterior AND cruciate AND ligament)) AND ((bone AND bruise) OR (bone AND contusion) OR (bone AND marrow AND edema) OR (bone AND marrow AND lesion) OR (subchondral AND edema)). Study Design: Clinical review. Level of Evidence: Level 4. Results: The literature search returned 93 articles of which 25 were ultimately included in this review. Most studies identified a high prevalence of bone bruises in the setting of acute ACL injury. Individual studies have found relationships between bone bruise volume and functional outcomes; however, these results were not supported by systematic review. Similarly, the literature has contradictory findings on the relationship between bone bruises and the progression of OA after ACL reconstruction. Investigations into concomitant injury found anterolateral ligament and meniscal ramp lesions to be associated with bone bruise presence on magnetic resonance imaging. Conclusion: Despite the ample literature identifying the prevalence of bone bruises in association with ACL injury, there is little evidence to correlate bone bruises to functional outcomes or progression of OA. Bone bruises may best be used as a marker for concomitant injury such as medial meniscal ramp lesions that are not always well visualized on magnetic resonance imaging. Further research is required to establish the longitudinal effects of bone bruises on ACL tear recovery. Strength of Recommendation Taxonomy: 2.

scholarly journals Relationship between Magnetic Resonance Imaging and Pathologic Findings in Spinal Meningiomas.

1999 ◽  
Vol 48 (2) ◽  
pp. 651-655
Author(s):  
Hirofumi Matsumoto ◽  
Mitsuhiro Takashita ◽  
Tomoji Yatsuka ◽  
Hirofumi Taira ◽  
Yasuo Higuma ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Pathologic Findings ◽  
Spinal Meningiomas

Utilization of 3-T fetal magnetic resonance imaging in clinical practice: a single-institution experience

2021 ◽  
Author(s):  
Usha D. Nagaraj ◽  
Maria A. Calvo-Garcia ◽  
A. Carl Merrow ◽  
Bin Zhang ◽  
Jean A. Tkach ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Practice ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Single Institution ◽  
Fetal Magnetic Resonance Imaging

Durectomy and reconstruction for the treatment of a recurrent spinal meningioma

2006 ◽  
Vol 5 (1) ◽  
pp. 76-78 ◽  
Author(s):  
Eric M. Horn ◽  
Vivek R. Deshmukh ◽  
Gregory P. Lekovic ◽  
Curtis A. Dickman
Keyword(s):  
Dura Mater ◽  
Complete Resection ◽  
Fascia Lata ◽  
Gait Ataxia ◽  
The Novel ◽  
Resonance Imaging ◽  
Spinal Meningioma ◽  
Thoracic Spinal ◽  
Spinal Meningiomas ◽  
Extensive Involvement

✓ 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.

Sign in / Sign up

Export Citation Format

Share Document