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Symptomatic patients: intradural meningioma (IM) causing pain or neurologic deficit.
Incidental finding: IM causing mass effect on the spinal cord or associated nerve roots. Surgery should be considered for these lesions because of the slowly progressive growth pattern and likelihood of neurologic deterioration in the future. In the case of multiple lesions, it is better to wait for symptoms before resecting a specific lesion.
In case of unclear radiologic pattern, when biopsy is needed to determine diagnosis.
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