Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors

Elzoghby, Mohamed; Baky, Abdel Aal Abdel

doi:10.21608/esj.2015.3976

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The most common presenting symptom in this study was localized back pain and radicular pain in 52.2% and 60.8%, respectively, followed by different degrees of motor weakness in 52.2%, sensory deficits in 43.5%, and sphincteric dysfunction in 34.8%. This was similar to results in other series (14,16,17) .…”

Section: Discussionsupporting

confidence: 93%

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Arab¹,

Eltantawy²,

Elmaghrabi³

2022

The Egyptian Journal of Hospital Medicine

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Background: Surgical treatment of Symptomatic intradural extramedullary spinal (IDEM) tumors is the most effective treatment. The development in diagnostic and surgical techniques helped for early diagnosis and excellent surgical results. The aim of the present study is to overview the management experience of IDEM spinal tumor cases in our university hospital for upgrading our competency and sharing it with other institutions. Patients and methods: A retrospective study was conducted in which the medical records of patients who had surgical treatment for IDEM spinal tumors in between the periods from May 2015 to May 2020 in Benha University hospitals were evaluated and reviewed. Results: A total of 23 patients, 11 males and 12 females were included with a mean age of 41.04 (SD 10.32) years and mean follow up of 22.9 (SD 7.52) months. Nerve sheath tumor (neurofibromas and schwanomas) accounted for most of tumors (52.2%) followed by meningiomas (34.8%). The 6 cases managed using IONM had excellent outcome. hemilaminectomy was done in 4 (17.4%) patients, and fusion was needed in 4 (17.4%) patients. Patients' functional outcome was assessed using Frankel grades; we had postoperative 8E, 4D, and 1C grades compared to 7E, 8D, 5C, and 3B preoperatively, and 22 (95.7%) patients had improvement. VAS showed significant from 8.57 (SD 1.21) preoperatively to 1.33 (SD 1.39) at last follow up visit (P value <0.001). Conclusion: Surgical treatment of symptomatic an IDEM spine tumor is successful and safe with good functional outcome and pain improvement. Most tumors are benign. Use of IONM is helpful and small unilaterally located tumor can be approached via hemilaminectomy.

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Section: Discussionsupporting

confidence: 93%

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Arab¹,

Eltantawy²,

Elmaghrabi³

2022

The Egyptian Journal of Hospital Medicine

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“…The most common localization of IETs is in the thoracic, followed by the lumbar and cervical regions. [7,13,[19][20][21] This was confirmed by our study, in which the localization IETs in the thoracic region was 50%. The second most common localization was the lumbar region (17.3%).…”

Section: Discussionsupporting

confidence: 66%

Analysis of characteristics and surgical outcome of intradural extramedullary tumors – a retrospective cohort study of 52 patients

Kitov¹,

Apostolov²,

Davarski³

et al. 2022

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Introduction: Although intradural extramedullary tumors (IET) are relatively well studied, research on the typical epidemiological, demographic, and clinical characteristics of these malignancies is scanty. Aim: The aim of this study was to investigate retrospectively the epidemiology, demographics, clinical presentation, imaging data, type of surgery, and the outcome of treatment of IETs. Materials and methods: We performed retrospective chart review of medical history, clinical presentation, paraclinical and imaging data, and operative protocols of operated patients with IETs from January 2011 to August 2020. Special attention was paid to the onset of symptoms, clinical presentation at admission, imaging data, localization, type of surgery, histology, and outcome of the disease. The degree of neurological deficit and disability of the patients at admission, discharge, and follow-up was assessed by the Modified McCormick Scale and the Modified Rankin Scale, respectively. The follow-up period varied from 1 to 105 months (mean 43 months). Results: Fifty-two patients (mean age 58 years, range 14-78 years) with IETs were surgically treated for the study period. At admission to the clinic, 48 patients (92.3%) had vertebralgia, 34 (65.4%) had concurrent radicular pain, 42 (80.8%) had motor deficit, and 18 (34.6%) had sphincter disorders. Total tumor removal was achieved in 47 patients (90.4%). Favourable outcome was registered in 43 patients (82.7%). The degree of disability (mRS) at admission (p=0.0001), the McCormick grade at admission (p=0.0001), gender (p=0.042), and age (p=0.047) of patients were significantly correlated with the functional status assessed by McCormick scale at discharge. Conclusions: Most of the IETs can be successfully removed via a standard posterior or posterolateral surgical access. Favourable outcome of treatment depends on early diagnosis and total tumor resection.

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Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors

Cited by 2 publications

References 11 publications

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Analysis of characteristics and surgical outcome of intradural extramedullary tumors – a retrospective cohort study of 52 patients

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Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors

Cited by 2 publications

References 11 publications

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Evaluation of Intradural Extramedullary Spinal Tumors Management: Single Institutional Experience

Analysis of characteristics and surgical outcome of intradural extramedullary tumors &ndash; a retrospective cohort study of 52 patients

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Analysis of characteristics and surgical outcome of intradural extramedullary tumors – a retrospective cohort study of 52 patients