STUDY DESIGN: Total excision of a large dumbbell cervicothoracic intra- and extraspinal @entity1653 that had grown into the posterior mediastinum is described. This excision involved a two-step neurosurgical-thoracosurgical procedure within a short interval. OBJECTIVES: To document that the described laminectomy and thoracotomy techniques are adequate, safe, and effective for the treatment of this intra- and extraspinal @entity75 . SUMMARY OF BACKGROUND DATA: The management of intra- and extraspinal dumbbell @entity5 is based on anecdotal reports of @entity808 , and thus remains a controversial issue. Even large series of @entity1653 lack adequate information on how best to treat large cervicothoracic @entity1653 . METHODS: The authors have modified standard techniques used for resection of spinal and mediastinal @entity5 , respectively, adapting them for a large, invasive @entity1653 in a 72-year-old lady. The @entity1 initially underwent laminectomy and microsurgical excision of the @entity5 portions encasing vascular structures. A week thereafter, a thoracotomy was performed, and the @entity5 portions were removed completely. RESULTS: Restitution was remarkably good. The @entity1 , who had been unable to walk on her own, regained some mobility. At this writing, she was able to walk considerable distances without support. There was no evidence of @entity5 recurrence during a follow-up interval of 3 years. CONCLUSIONS: The authors recommend a two-staged procedure for complete excision of a large @entity1653 . Even in elderly @entity1 with major @entity51 , an impressive recovery can be achieved with such lesions.

XXXX : a case report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity808 :: ('MESH:D009442', 'Disease') :: ['mostly neurinomas'] @entity75 :: ('MESH:D001927', 'Disease') :: ['meningioma lesion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'intraspinal tumor', 'mediastinal tumor', 'tumors'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficits'] @entity1653 :: ('MESH:D008579', 'Disease') :: ['spinal-thoracic meningioma', 'dumbbell meningioma', 'meningioma', 'spinal meningiomas', 'meningiomas']
@entity1653 :: (MESH:D008579,Disease) :: ['Spinal-thoracic dumbbell meningioma']
