A Retrospective Study of Histopathology and Clinical Correlation of Spinal Meningioma at Thoothukudi Medical College, India

ABSTRACT

The study was conducted to understand the clinical algorithm of spinal meningioma. Correlation was done by clinical presentation with radiological features and histopathology .The stress upon to understand the necessity for a team-approach between Clinician, Radiologist and Pathologist and vice versa is emphasised. Aim: To correlate histopathology of spinal meningioma with the Clinical features. Methods: This is a retrospective study of spinal tumours, diagnosed by histopathology as various types of meningioma. All the relevant clinical data of the patients were searched from the ward records. The various Radiological features were collected. Results: The total number of spinal tumours studied during the 8 years period was 86 cases among which 25 cases were diagnosed by histopathology as various types of meningioma conclusively. Spectroscopy provides molecular information with regard to meningiomas and potentially aid in biopsy planning. Surgical resections were done as follows 20 cases resected as Simpson Grade 1, 5 cases resected as Simpson Grade 2. Venous thromboembolism was seen in 1 patient. Four cases underwent follow up Adjuvant External Beam Radiotherapy. Conclusion: The Simpson grading of resection of meningioma correlated the degree of surgical resection completeness with symptomatic recurrence. Four cases underwent follow up Adjuvant External Beam Radiotherapy with good results .Spinal meningioma needs correlation between Radiologist, Pathologist and Clinician.