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 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 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.

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.

Intradural Extramedullary and Intramedullary Spinal Cord Tumors

2012 ◽  
pp. 421-436 ◽  
Author(s):  
Michaël Bruneau ◽  
Florence Lefranc ◽  
Danielle Balériaux ◽  
Jacques Brotchi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Tumors ◽  
Intramedullary Spinal Cord ◽  
Intradural Extramedullary

The use of minimally invasive approaches to resect intradural extramedullary spinal cord tumors

2014 ◽  
Vol 78 (6) ◽  
pp. 24 ◽  
Author(s):  
N. A. Konovalov ◽  
I. N. Shevelev ◽  
A. G. Nazarenko ◽  
D. S. Asiutin ◽  
V. A. Korolishin ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Spinal Cord Tumors ◽  
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>

The development of techniques for resection of spinal cord tumors by Harvey W. Cushing

2005 ◽  
Vol 2 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Aaron A. Cohen-Gadol ◽  
Dennis D. Spencer ◽  
William E. Krauss
Keyword(s):  
Spinal Cord ◽  
Surgical Techniques ◽  
Spinal Tumors ◽  
Spinal Cord Tumors ◽  
Content Type ◽  
Improved Outcomes ◽  
Peter Bent Brigham Hospital ◽  
Operative Notes ◽  
Natural Histories ◽  
Fine Print

✓ Harvey Cushing's refinement of Halsted's meticulous surgical techniques facilitated safe resection of intradural spinal tumors. Although Cushing focused his attention on brain tumors at the Peter Bent Brigham Hospital, his numerous contributions to the treatment of intradural spinal tumors include the description of these tumors' natural histories and their histological classifications. The application of his experienced intracranial techniques to the resection of spinal tumors improved outcomes. The authors review selected operative notes and sketches to demonstrate his technique in the excision of the spinal cord tumors.

Surgical Complications in Intradural Extramedullary Spinal Cord Tumors - An ACS-NSQIP Analysis of Spinal Cord Level and Malignancy

2018 ◽  
Vol 117 ◽  
pp. e290-e299 ◽  
Author(s):  
Abhiraj D. Bhimani ◽  
Steven Denyer ◽  
Darian R. Esfahani ◽  
Jack Zakrzewski ◽  
Tania M. Aguilar ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Surgical Complications ◽  
Spinal Cord Tumors ◽  
Acs Nsqip ◽  
Intradural Extramedullary ◽  
Spinal Cord Level
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