scholarly journals A Rare Case of Intradural Extramedullary Myxopapillary Ependymoma At Thoracolumbar Junction

2017 ◽  
Vol 5 (8) ◽  
Author(s):  
Dr Pushkraj Baswant Birajdar ◽  
Keyword(s):  
Rare Case ◽  
Thoracolumbar Junction ◽  
Myxopapillary Ependymoma ◽  
Intradural Extramedullary

A rare case of intradural extramedullary Ewing's sarcoma in the cervical region

2019 ◽  
Vol 67 (6) ◽  
pp. 1543
Author(s):  
Ketan Desai ◽  
AnshuC Warade ◽  
AshishK Jha ◽  
Sanjeev Pattankar ◽  
Chitra Madiwale ◽  
...  
Keyword(s):  
Rare Case ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Cervical Region ◽  
Intradural Extramedullary

scholarly journals Intradural extramedullary spinal cord tumours: A retrospective study of sur­ gical outcomes

2016 ◽  
Vol 9 (1) ◽  
pp. 11
Author(s):  
Md. Kamrul Ahsan ◽  
Md. Abdul Awwal ◽  
Shahidul Islam Khan ◽  
Md. Hamidul Haque ◽  
Naznin Zaman
Keyword(s):  
Spinal Cord ◽  
Surgical Excision ◽  
Clinical Results ◽  
Neurological Deterioration ◽  
Cerebrospinal Fluid Leakage ◽  
Myxopapillary Ependymoma ◽  
Histopathological Diagnosis ◽  
Preoperative Symptom ◽  
Intradural Extramedullary ◽  
Spinal Cord Tumours

<p><strong>Background:</strong> Intradural extramedullary spinal cord tumours (IESCT) accounts for approximately two thirds of all intraspinal neoplasm and are of important clinical consideration and surgery is the essence in cases with neurological deterioration.</p><p><strong>Objective:</strong> To share our experience on the outcome of surgical excision of intradural extramedullary spinal cord tumours. Methods: Results of 60 patients surgically treated intradural extramedullary spinal tumours between Octo­ber 2003 and October 2015 at Bangabandhu Sheikh Mujib Medical University and in our private settings, Dhaka, were analyzed retrospectively. There were 32 males, 28 females with an average age of 52.4 years (13-70 years) and followed up for at least a year. The preoperative symptom with duration, tumours location and intradural space occupancy and the histopathological diagnosis were analyzed. Pain was evaluated by the visual analogue scale (VAS) and the neurologic function was assessed by Nurick's grade.</p><p><strong>Results:</strong> The tumours were located as, thoracic 32 (53.33%), lumbar 16 (26.67%), cervical 04 (6.67%), and junctional 08 (13.33%), CervicoThoracic-01, Thoracolumbar-07). The histopathological diagnosis included schwannoma 35 (58.33%), meningiomas 14 (23.33%), neurofbroma 4 (6.67%), arachnoid cyst and myxopapillary ependymoma 03 (05.00%) each and paraganglioma 01 (01.67%). The VAS score was reduced in all cases from 8.0 ± 1.2 to 1.2 ± 0.8 (p &lt; 0.003) and the Nurick's grade was improved in all cases from 3.0 ± 1.3 to 1.0 ± 0.0 (p &lt; 0.005). The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Complications included cerebrospinal fluid leakage, parasthesia, dependant bedsore 02 (3.33%) each and recurrence 03 (05.00%). and further neurological deterioration 1 (01.67%) case.</p><p><strong>Conclusion:</strong> lntradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgi­cally. Aggressive surgical excision potentially minimizes neurologic morbidity and improved outcome. ­</p>

scholarly journals A rare case of intramedullary schwannoma at conus medullaris: A case report with review of literature

2020 ◽  
Vol 11 ◽  
pp. 454
Author(s):  
Rahul Varshney ◽  
Pranjal Bharadwaj ◽  
Ajay Choudhary ◽  
Purnima Paliwal ◽  
Kaviraj Kaushik
Keyword(s):  
Urinary Incontinence ◽  
Rare Case ◽  
Conus Medullaris ◽  
Thoracolumbar Junction ◽  
Case Description ◽  
Total Excision ◽  
Review Of Literature ◽  
Sphincter Function ◽  
Intramedullary Schwannoma ◽  
Primary Spine

Background: Intramedullary spinal schwannomas constitute only 0.3% of primary spine tumors. We could identify only 13 such cases involving the conus that were not associated with neurofibromatosis (NF). Here, we report a 70-year-old male without NF who was found to have a paraparesis due to a schwannoma of the thoracolumbar junction/conus (D11-L2). Case Description: A 70-year-old male presented with an L1-level paraparesis with urinary incontinence. The magnetic resonance showed an intramedullary mass of 85 × 10 mm extending from D11 to L2; it demonstrated significant patchy enhancement. The patient underwent a D12 and L1 laminectomy with gross total excision of the mass that proved to be a schwannoma. Three months postoperatively, he was able to ambulate with support, and regained sphincter function. Conclusion: Intramedullary schwannomas involving the conus/thoracolumbar junction are rare, and can be successfully excised resulting in good outcomes.

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.

A rare case of extramedullary myxopapillary ependymoma

2015 ◽  
Vol 15 (2) ◽  
pp. 367 ◽  
Author(s):  
Mehmet Sait Menzilcioglu ◽  
Tuna Sahin ◽  
Serdal Citil
Keyword(s):  
Rare Case ◽  
Myxopapillary Ependymoma

scholarly journals A rare case of intradural extramedullary Ewing's sarcoma with skip metastasis in the spine

Spinal Cord ◽  
2008 ◽  
Vol 46 (8) ◽  
pp. 582-584 ◽  
Author(s):  
K P Haresh ◽  
S K Chinikkatti ◽  
R Prabhakar ◽  
A Rishi ◽  
G K Rath ◽  
...  
Keyword(s):  
Rare Case ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Skip Metastasis ◽  
Intradural Extramedullary

scholarly journals A rare case of thoracic spinal intradural extramedullary enterogenous cyst with acute onset: case report and literature review

2019 ◽  
Vol 101 (6) ◽  
pp. e142-e146 ◽  
Author(s):  
CX Liu ◽  
B Meng ◽  
YB Li ◽  
H Bai ◽  
ZX Wu
Keyword(s):  
Rare Case ◽  
Acute Onset ◽  
Neurenteric Cyst ◽  
Enterogenous Cyst ◽  
Diagnosis And Prognosis ◽  
Thoracic Spinal ◽  
Spinal Segments ◽  
Intradural Extramedullary ◽  
Radicular Symptoms ◽  
Progressive Weakness

The intraspinal enterogenous cyst, also called an neurenteric cyst, is a rare congenital disease. It was reported to be local to the C1 to L2 spinal segments, with the majority located in the cervicothoracic region. Most patients present with symptoms of progressive focal pain, myelopathic signs or radicular symptoms. We report a rare case of thoracic spinal intradural extramedullary enterogenous cyst with rapidly progressive weakness of both lower extremities. Additionally, we analysed the literature concerning the clinical features, diagnosis and prognosis of this disease.

scholarly journals Multicentric intradural extramedullary ependymoma: Report of a rare case

2015 ◽  
Vol 6 (3) ◽  
pp. 134 ◽  
Author(s):  
Raghvendra Ramdasi ◽  
Gautam Zaveri ◽  
Sunil Pandya ◽  
Atul Vats
Keyword(s):  
Rare Case ◽  
Intradural Extramedullary
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