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

  • Mch (neurosurgery).
  • surgery post graduate
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Introduction: Intradural extramedullary spinal cord tumors (IESCT) account for approximately two thirds of all intraspinal neoplasms. The purpose of this study was to determine short- and long-term outcomes of surgery in patients with IESCT, and to study the clinical features that could be helpful in treatment of patients with these lesions. Methods: A retrospective review of 25 operative IESCT cases between 2012 and 2014 was performed. Outcomes were scored at one month and at mean follow-up of 9 months postoperatively. In addition, patient demographics, tumor subtypes and locations were also considered. Statistical analysis was calculated utilizing Chi-square and Student's t-tests. Results: There were 8 men and 17 women (mean age 48 y/o, range 18-87 y/o). Men presented at a younger age than women (44 vs 53 y/o, P<0.02). 18 (72%) patients presented with severe radiculopathy and/or myelopathy. The remaining 7 (28%) had symptoms typical of disc herniation. Mean duration of symptoms prior to diagnosis was 11 months. Schwannomas (10 patients) had the longest mean duration of symptoms (14.9 months), followed by meningiomas (8 patients, 8.4 months), and ependymomas (7 patients, 2 months). Conclusions: Intradural extramedullary tumors, easily detected by MRI, are mostly benign and excellent clinicoradiological results can be obtained by microneurosurgery. Therefore, more active surgical approaches by neurosurgeons are recommended to decrease morbidity.

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Sandeep Inchnalkar, Kashif Ansari, Suraj Mahadik and Nikunj Shekhada. (2017); INTRADURAL EXTRAMEDULLARY SPINAL CORD TUMORS: A RETROSPECTIVE STUDY OF LOCATIONS, TUMOR TYPES, AND SURGICAL OUTCOME, Int. J. of Adv. Res., 5 (01), 2186-2190, ISSN 2320-5407. DOI URL: https://dx.doi.org/10.21474/IJAR01/2995

Dr. Kashif Ansari

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Article DOI: 10.21474/IJAR01/2995      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2995

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