Intradural conus and cauda equina tumours: a retrospective review of presentation, diagnosis and early outcome.

Mathew, P; Todd, N. V.

doi:10.1136/jnnp.56.1.69

Cited by 50 publications

(40 citation statements)

References 21 publications

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“…In 86% of the present cases, the symptom at onset was pain, without sensory change or motor weakness. This finding is consistent with previous reports, in which the initial symptom of 45% to 95% of cases was back pain alone or back pain associated with sciatic pain (Ker and Jones 1985;Hanakita et al 1992;Mathew and Todd 1993;Parenti et al 1993;Cervoni et al 1995). Most investigators have emphasized that pain alone without neurological deficit is associated with long duration of symptoms until diagnosis or treatment.…”

Section: Discussionsupporting

confidence: 82%

“…In the present series, the first patient presented to our hospital in 1991, and all of the present tumors were diagnosed by MRI. Several authors have recommended that MRI be the first examination performed in cases of suspected cauda equina tumors, and have noted that MRI plays an important role in early identification of cauda equina tumors (Mathew and Todd 1993;Parenti et al 1993).…”

Section: Discussionmentioning

confidence: 99%

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Clinical Features of Cauda Equina Tumors Requiring Surgical Treatment

Shimada

Miyakoshi

Kasukawa

et al. 2006

Tohoku J. Exp. Med.

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In this study, we evaluated the clinical features of cauda equina tumors requiring surgical treatment. Medical records of 28 patients with cauda equina tumors (13 men and 15 women) undergoing surgical treatment were retrospectively reviewed. The majority of histological diagnoses indicated schwannoma (23 cases, 82%), and the remaining 5 indicated ependymoma, neurofibroma, meningioma, and ganglioneuroblastoma. In 86% of the cases, the initial symptom was pain in the lower back and/or lower extremities. Preoperatively, half of the patients had symmetrical pain in the lower back or lower extremities, severe pain in the supine position, or pain that was increased by coughing. One third of the patients needed morphine to control nocturnal pain. Tumor size, as determined by magnetic resonance imaging (MRI), correlated with preoperative symptom duration (r = 0.66, p < 0.001). These findings indicate that symmetrical lower back pain and/or pain that radiates to both lower extremities and increases in the supine position are characteristic of cauda equina tumors. The correlation between symptom duration and tumor size indicates that earlier diagnosis of this tumor is necessary. Earlier diagnosis based on these characteristic symptoms should make use of further examinations such as MRI.cauda equina tumors; clinical features; surgical treatment

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Clinical Features of Cauda Equina Tumors Requiring Surgical Treatment

Shimada

Miyakoshi

Kasukawa

et al. 2006

Tohoku J. Exp. Med.

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“…Using IONM may facilitate gross-total resection (p=0.0016) ( Table VII). The surgical treatment outcome of SS correlates with the preoperative neurological condition of the patient (19). GTR of SS is almost curative unless SSs are associated with neurofibromatosis.…”

Section: █ Resultsmentioning

confidence: 99%

Long-term surgical treatment outcomes of spinal schwannomas: retrospective analysis of 49 consecutively operated cases

Emel¹,

Abdallah²,

Sofuoğlu³

et al. 2015

Turkish Neurosurgery

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ABSTRACTtumors, particularly in adults (8). Rarely, SS have possibility of malignancy and therefore the recommended primary treatment of choice is gross-total resection (GTR) with preservation of neurological function. GTR of these lesions, which is the main goal of surgical treatment, leads to good results.Giant dumbbell SS, which extends anteriorly to invade the bones, vascular structures, and soft tissues and fill the abdominal and thoracic cavities as same as extradural location RESuLTS: Forty-nine cases were detected in 47 (26 female, 21 male) patients. The mean age was 45.8±13.7 years. The mean follow-up period was 61.4±21.5 months. The most common complaint was local pain. Eleven were cervical, ten thoracic, twentyfour lumbar, and four in the sacral spine. Thirty-three cases were intradural-extramedullary, fifteen cases were the extradural type, and one case was the extra-intradural type. Recurrence rate was 4.08%. Gross-total resection (GTR) was achieved in forty-seven patients. The most common complications were surgical site infection and intraoperative instability that were seen in three patients each. Posterior instrumentation was performed in two patients.COnCLuSIOn: SS is mostly benign and intradural-extramedullary. To treat patients with SS, there is no need for adjuvant treatments; GTR with preservation of neurological functions is the best treatment to relieve patients' complaints and to reduce the recurrence rate of SS. To avoid serious complications, we recommend intraoperative neurophysiological monitoring and laminoplasty, especially in young patients. Dumbbell SS may require extensive bone resection. Posterior instrumentation can be used if instability occurs.

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“…Other reports also indicated the incidence to be about 0.5-2%. [7][8][9] In the spinal canal, dermoid cysts commonly appear in the lumbosacral spinal canal, which was the site of the present case. Concerning age, this type of tumor is frequently encountered at younger ages than epidermoid cysts according to the review by Guidetti and Gagliardi.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Intradural dermoid cysts have been rarely reported among intraspinal tumors. [6][7][8][9] In this report, we describe a rare case of adult onset TCS associated with an intradural dermoid cyst.…”

Section: Introductionmentioning

confidence: 99%

Adult onset tethered cord syndrome associated with intradural dermoid cyst. A case report

et al. 2006

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Study design: A case report and a review of literature. Objectives: To describe a rare case of adult onset tethered cord syndrome associated with intradural dermoid cyst. Setting: General Orthopedics, Japan. Methods: A 50-year-old woman was referred to us because of right leg pain and pollakiuria. Neurological examinations and radiological assessments including myelography, computerized tomography scan and Magnetic resonance image were carried out. We diagnosed it as the adult onset tethered cord syndrome associated with an intradural cystic lesion. Results: The cystic lesion was totally removed following laminectomy from L5 through S4. Histologically, the tumor was diagnosed as a dermoid cyst. Conclusions: Intradural dermoid could produce adult onset tethered cord syndrome, but it was not reported in the English literatures to our knowledge.

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Intradural conus and cauda equina tumours: a retrospective review of presentation, diagnosis and early outcome.

Cited by 50 publications

References 21 publications

Clinical Features of Cauda Equina Tumors Requiring Surgical Treatment

Clinical Features of Cauda Equina Tumors Requiring Surgical Treatment

Long-term surgical treatment outcomes of spinal schwannomas: retrospective analysis of 49 consecutively operated cases

Adult onset tethered cord syndrome associated with intradural dermoid cyst. A case report

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