scholarly journals Spinal Cord Tumors—Our 5-Year Experience

2022 ◽  
Author(s):  
Manpreet S. Banga ◽  
B.V. Sandeep ◽  
Anantha Kishan ◽  
Arjun H. Dev ◽  
Rajesh B. Devabhakthuni
Keyword(s):  
Spinal Cord ◽  
Retrospective Study ◽  
Spinal Tumor ◽  
Spinal Tumors ◽  
Spinal Cord Tumors ◽  
Motor Weakness ◽  
Nerve Sheath Tumors ◽  
Intradural Extramedullary ◽  
The Common

Abstract Purpose To study the demography, incidence, symptoms, histopathology, postoperative complications and recovery in operated patients of spinal tumor. Overview of Literature Primary spinal cord tumors (SCT) are an uncommon entity. According to their location, spinal tumors are conveniently classified as extradural (ED) and intradural (ID), although some can be both inside and outside the dura. ID tumors can be intradural extramedullary (IDEM) or intramedullary SCT (IMSCT). Methods This is a retrospective study of 122 patients with spinal tumors who were surgically treated at the department of neurosurgery from 2014 to 2019 over a period of 5 years. Study Design This is a retrospective study. Results Out of 122 patients, there were 19 patients with ED tumor, 73 had IDEM, and 30 had IMSCT. As many as 73 patients were males and the rest of the 49 patients were females. Mean age at time of surgery was 40.79 years. The thoracic region of spinal canal was most frequently involved (64; 52.4%). The common clinical symptom was motor weakness (90 cases; 73.77%). Majority of the patients had symptoms for duration of 6 to 12 months. Schwannomas were the most common tumor among IDEM and extradural location. Ependymomas were the most common type in IMSCT. We observed significant improvement in most of our cases. Four patients deteriorated at 3 months follow- up. Conclusions There was a higher male:female ratio for all spinal cord tumors except meningiomas. There was also a higher proportion of nerve sheath tumors, and a lower proportion of meningiomas and neuroepithelial tumors. These results are similar to other studies from Asian countries.

scholarly journals Surgical outcome of intradural extramedullary spinal cord tumors - Our experience at a tertiary health care center

2020 ◽  
Vol 1 (2) ◽  
pp. 103-109
Author(s):  
Gyanendra Joshi ◽  
Binod Bijukachhe ◽  
Javed Ahmad Khan
Keyword(s):  
Spinal Cord ◽  
Cauda Equina ◽  
Clinical Results ◽  
Spinal Tumors ◽  
Myxopapillary Ependymoma ◽  
Spinal Cord Tumors ◽  
Vas Score ◽  
Post Surgery ◽  
Intradural Extramedullary

Introduction: To report the treatment results of 19 patients who underwent excision of intradural extramedullary (IDEM) spinal tumors. Materials & Methods:  This is a retrospective study. Patients’ records were retrieved from the electronic database of Grande International Hospital. There were 19 IDEM spinal tumors excised over a period of 6 years between January 2013 and August 2019 by a single surgeon. There were 11 (57.9%) males and 8 (42.1%) females with an average age of 48.37±21.87 years (range, 5-79 years). The mean postoperative follow-up period was 12.87±14.88 months (range, 15 days - 60 months). The histopathological findings, locations of the tumors, and clinical results were analyzed. Neurological findings were evaluated using ASIA grading system and pain was evaluated using VAS score. Results:  Histopathologically the tumors were: 8 meningioma (42.1%), 4 schwannoma (21.1%), 4 neurofibroma (21.1%), 1 dermoid cyst (5.3%), 1 lipoma (5.3%), and 1 myxopapillary ependymoma (5.3%). Tumor locations were: dorsal in 10 (52.6%), lumbar in 5 (26.3%), lumbosacral in 2 (10.5%), dorsolumbar in 1 (5.3%), and cervical in 1 (5.3%) patient. Neurologic status of 7 patients was normal and 12 had neurologic involvement with 3 patients having Cauda Equina Syndrome (CES) preoperatively. At the final follow-up, 3-grade, 2-grade and 1-grade improvement in ASIA score was observed in 1, 6 and 1 cases, respectively. There was no change in the ASIA grade in 1 case. All 3 cases of CES achieved full neural recovery. Preoperative VAS score was 9.21±1.08 and improved significantly to 0.74±1.62 after surgery. Neurological improvement was seen in 91.67% with complete recovery in 75% of the cases and not a single case deteriorated neurologically post-surgery. Conclusion:  Most intradural-extramedullary spinal cord tumors are mostly benign and good clinical results can be obtained when adequately treated with surgery.

scholarly journals Improved patient quality of life following intradural extramedullary spinal tumor resection

2016 ◽  
Vol 25 (5) ◽  
pp. 640-645 ◽  
Author(s):  
Matthew J. Viereck ◽  
George M. Ghobrial ◽  
Sara Beygi ◽  
James S. Harrop
Keyword(s):  
Quality Of Life ◽  
Clinical Symptoms ◽  
Tumor Resection ◽  
Spinal Tumor ◽  
Administrative Database ◽  
Spinal Tumors ◽  
Descriptive System ◽  
Intradural Extramedullary

OBJECTIVE Resection significantly improves the clinical symptoms and functional outcomes of patients with intradural extramedullary tumors. However, patient quality of life following resection has not been adequately investigated. The aim in this retrospective analysis of prospectively collected quality of life outcomes is to analyze the efficacy of resection of intradural extramedullary spinal tumors in terms of quality of life markers. METHODS A retrospective review of a single institutional neurosurgical administrative database was conducted to analyze clinical data. The Oswestry Disability Index (ODI), visual analog scale (VAS) for pain, and the EQ-5D-3 L descriptive system were used to analyze quality of life preoperatively, less than 1 month postoperatively, 1–3 months postoperatively, 3–12 months postoperatively, and more than 12 months postoperatively. RESULTS The ODI scores increased perioperatively at the < 1-month follow-up from 36 preoperatively to 47. Relative to preoperative values, the ODI score decreased significantly at 1–3, 3–12, and > 12 months to 23, 17, and 20, respectively. VAS scores significantly decreased from 6.1 to 3.5, 2.4, 2.0, and 2.9 at the < 1-month, 1- to 3-, 3- to 12-, and > 12-month follow-ups, respectively. EQ-5D mobility significantly worsened at the < 1-month follow-up but improved at the 3- to 12-and > 12-month follow-ups. EQ-5D self-care significantly worsened at the < 1-month follow-up but significantly improved by the 3- to 12-month follow-up. EQ-5D usual activities improved at the 1- to 3-, 3- to 12-, and > 12-month follow-ups. EQ-5D pain and discomfort significantly improved at all follow-up points. EQ-5D anxiety and depression significantly improved at 1- to 3-month and 3- to 12-month follow-ups. CONCLUSIONS Resection of intradural extramedullary spine tumors appears to significantly improve patient quality of life by decreasing patient disability and pain and by improving each of the EQ-5D domains.

scholarly journals INTRADURAL EXTRAMEDULLARY SPINAL CORD TUMORS: A RETROSPECTIVE STUDY OF LOCATIONS, TUMOR TYPES, AND SURGICAL OUTCOME.

2017 ◽  
Vol 5 (1) ◽  
pp. 2186-2190 ◽  
Author(s):  
Dr.Sandeep. Inchnalkar. ◽  
◽  
Dr.Kashif. Ansari. ◽  
Dr.Suraj. Mahadik. ◽  
Dr.Nikunj. Shekhada. ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Retrospective Study ◽  
Surgical Outcome ◽  
Spinal Cord Tumors ◽  
Intradural Extramedullary ◽  
Tumor Types

scholarly journals Unilateral laminectomy approach for total resection of intradural extramedullary spinal tumor

2019 ◽  
Vol 2 (2) ◽  
pp. 23-26
Author(s):  
Steven Awyono ◽  
Putu Eka Mardhika ◽  
Tjokorda Gde Bagus Mahadewa ◽  
Akbar Wido ◽  
Hizkia Lumban Gaol ◽  
...  
Keyword(s):  
Recovery Time ◽  
Spinal Tumor ◽  
Spinal Tumors ◽  
Fast Recovery ◽  
Spinal Cord Tumors ◽  
Total Resection ◽  
Central Nervous System Neoplasm ◽  
The Central Nervous System ◽  
Intradural Extramedullary ◽  
Care Period

Spinal tumors found in about 5-15% of the central nervous system neoplasm. Intradural-extramedullary spinal cord tumors are one of the types that usually managed with total laminectomy but with many postoperative complications. A 76-year-old woman with paraplegia caused by intradural-extramedullary intraspinal tumor at thoracic 4 level. For this patient, we performed unilateral laminectomy without any fusion or stabilization from the left side then we performed total excision of the tumor. The surgery was successfully done with fast improvement of patient condition, minimal pain after surgery, no blood transfusion needed, shorter intensive care period needed, and fast recovery time are the prominent things in this case. Three days after surgery, the patient’s motoric power already improved and then the patient is permitted to go home at the fifth day.

scholarly journals Clinical outcome of intradural extramedullary spinal cord tumors: A single-center retrospective analytical study

2021 ◽  
Vol 12 ◽  
pp. 145
Author(s):  
Pratik Patel ◽  
Dhanish Mehendiratta ◽  
Vivek Bhambhu ◽  
Samir Dalvie
Keyword(s):  
Spinal Cord ◽  
Clinical Outcome ◽  
Surgical Intervention ◽  
Spinal Tumors ◽  
Cerebrospinal Fluid Leakage ◽  
Karnofsky Performance Score ◽  
Spinal Cord Tumors ◽  
Mri Scans ◽  
Intradural Extramedullary ◽  
Acute Neurological Deterioration

Background: Intradural extramedullary spinal cord tumors (IESCT) account for approximately two-thirds of largely benign intraspinal neoplasms. They occasionally present with acute neurological deterioration warranting emergent surgical intervention. Methods: Here, we reviewed a series of 31 patients with intradural extramedullary spinal tumors who underwent surgery from 2012 to 2019. Patients averaged 50.8 years of age, and there were 16 males and 15 females. Patients were followed for a minimum of 1 year. Multiple clinical outcome variables were studied (e.g., Karnofsky Performance Score [KPS], visual analog scale (VAS), and Frankel grade). Results: The majority of IESCT tumors were found in the thoracic spine 18 (58.06%) followed by the lumbar 8 (25.80%), cervical 1 (3.22%), and combined junctional tumors 4 (12.90%) (cervicothoracic-02 and thoracolumbar-02). Histopathological diagnoses included schwannomas-16 (51.61%), meningiomas-11 (35.48%), lipomas-2 (6.45%), hemangiomas-1 (3.22), and ependymomas-01 (03.22%). The VAS score was reduced in all cases, while KPS and Frankel grades were significantly improved. Complications included cerebrospinal fluid leakage, new/residual paresthesias, and tumor recurrence (12.50%). Conclusion: Most intradural extramedullary tumors are benign and are readily diagnosed utilizing MRI scans. Notably, good functional outcomes follow surgical intervention.

scholarly journals The outcome of surgical resection in complete paraplegia patient due to thoracic schwannoma

2021 ◽  
Vol 4 (2) ◽  
pp. 78-83
Author(s):  
Maria Monica ◽  
Bair Ginting
Keyword(s):  
Spinal Cord ◽  
Daily Activity ◽  
Tumor Resection ◽  
Spinal Tumor ◽  
Sensory Function ◽  
Low Grade ◽  
Spinal Cord Surgery ◽  
Intradural Extramedullary ◽  
Spinal Schwannoma

Spinal schwannoma is the most common benign intradural spinal tumor. However, studies regarding the neurological outcome of tumor resection in complete paraplegia patients are still lacking. The authors report a case of complete paraplegia due to primary intradural extramedullary low-grade schwannoma of the spinal cord. Surgery was performed 5 weeks after the paraplegia complaint first occurred. The patient did not regain motor nor sensory function in the 1-month follow-up but resolution of pain was achieved. The patient was able to perform daily activity more comfortably. In the event of complete paraplegia, surgery should still be offered promptly as it can still benefit the patient. Possible factors that could have influenced the prognosis in our study are discussed.

Spinal Cord Tumors

2021 ◽  
pp. 949-955
Author(s):  
I. Darin Carabenciov ◽  
Joon H. Uhm
Keyword(s):  
Spinal Cord ◽  
Clinical Characteristics ◽  
Cauda Equina ◽  
Spinal Tumors ◽  
Tumor Type ◽  
Spinal Cord Tumors ◽  
Imaging Characteristics ◽  
Anatomical Compartment ◽  
Intradural Extramedullary

Spinal tumors can be broadly classified on the basis of the anatomical compartment they occupy. These tumors can be intramedullary, intradural extramedullary, or extradural. Regardless of location, significant neurologic morbidity can occur as a result of their effects on the spinal cord or the cauda equina, or both. This chapter summarizes the pathophysiologic factors, clinical characteristics, imaging characteristics, and treatment of each tumor type.

scholarly journals Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka

Surgeries ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 303-307
Author(s):  
Md Aminul Islam ◽  
Maj Shamantha Afreen ◽  
Nicola Montemurro ◽  
Bipin Chaurasia
Keyword(s):  
Functional Outcomes ◽  
Residual Effect ◽  
Spinal Tumor ◽  
Spinal Tumors ◽  
Military Hospital ◽  
Limb Weakness ◽  
Age At Surgery ◽  
Intradural Extramedullary ◽  
Early Exploration ◽  
The Common

(1) Background: spinal tumors not only causes structural problem but also it affects body functionality, too. Surgery has a key role in management of patients with spinal tumor. The aim of this study is that to observe their clinical profile, functional outcomes and prognostic factors. (2) Methods: 20 retrospectively consecutive patients with spinal tumors operated over a period of 2 years were analyzed. (3) Results: nine (45%) were intradural and 11(55%) were extradural. Mean age at surgery was 45.05 years (range 20–80 years). The common clinical features were pain, limb weakness and autonomic involvement. Schwannoma was common in intradural extramedullary group whereas astrocytoma and ependymoma was common in intramedullary group. In this case, 16 (80%) patients had improvement following surgery and 4 (20%) remained the same, none had deterioration. Common complications were persistent pain (1 case) and autonomic involvement (1 case). (4) Conclusion: spinal tumors need early exploration and excision and usually patients recover well without any residual effect.

scholarly journals Clinical profile, management and surgical outcome of spinal cord tumors

2021 ◽  
Vol 8 (10) ◽  
pp. 3013
Author(s):  
Shobhit Chhabra ◽  
Bhagirath More ◽  
Deepak Ranade ◽  
Sarang Gotecha ◽  
Prashant Punia ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Surgical Excision ◽  
Spinal Tumor ◽  
Spinal Tumors ◽  
Cervical Cord ◽  
Subtotal Resection ◽  
Histopathological Diagnosis ◽  
Tumor Type ◽  
Spinal Cord Tumors ◽  
Significant Drop

Background: Spinal cord tumors can result in dramatic neurological and functional disabilities in the patients. We aimed to know the incidence of different types of spinal tumors and correlation between clinical presentation and pathological findings and compare outcomes of these tumors postoperatively.Methods: A total of 50 patients were included in the study group. After a thorough clinical evaluation, patients were subjected to a magnetic resonance imaging (MRI) and then surgery. They were described on the basis of age, sex, location of the tumor, type of the tumor, symptoms, histopathological type, surgical resection and complications.Results: Study included 29 males and 21 females and their age ranged from 5 years to 70 years. Out of the 50 patients, 39 had intradural and 11 had extradural spinal tumors. Amongst the 39 intradural tumors, 27 were extramedullary and 12 were intramedullary in location. A predilection towards the thoracic region (44%) was seen followed by the cervical cord. The tumors were excised completely in 68% of the patients while subtotal resection was done in 18% and near total resection in 14% patients. There was significant drop in VAS score and improvement in McCormicks score at 3 months of follow up.Conclusions: Based on this study it could be suggested that surgical excision and decompression should be attempted in all patients of intradural spinal tumor fit to undergo the procedure, as it not only helps in reaching a definitive histopathological diagnosis but also achieves neurological improvement in most patients without causing significant morbidity and mortality.

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