Outcome predictors and complications in the management of intradural spinal tumours

Surgical Outcomes of Spinal Tumour: Experiences of 48 Cases at Referral Neurosurgery Hospital in Bangladesh

“…The remaining 3 cases were neurofibroma whose outline could not be cleared due to firm adhesion with surrounding structures. This result is comparable to other series [4] where complete excision was not possible in 15.8% cases. In Albanese and platania's (2002) series complete excision was not possible in 6% of schwannomas.…”

“…CSF leakage and subsequent meningitis was the greatest problem in the series of both Mahdy et al (1999) and Jenkinson et al (2006). There was also 2.6% post-operative death in the series of Jenkinson et al (2006). In two cases of this series one schwannoma and another Neurofibroma, nerve roots were sacrificed as an attempt of complete surgical excision.…”

“…No patient developed meningitis and there was no postoperative death in this series. CSF leakage and subsequent meningitis was the greatest problem in the series of both Mahdy et al (1999) and Jenkinson et al (2006). There was also 2.6% post-operative death in the series of Jenkinson et al (2006).…”

“…However, these cases shown no early post-operative neurological deficit. This was possibly due to the reason that the nerve roots giving rise to extramedullary spinal tumors were nonfunctional at the time of surgery [4].…”

“…Intradural spinal tumors account for only small proportion of CNS tumors with an incidence of 0.3 per 100,000 per year [4]. Twothird of intradural tumors are extramedurllary [5].…”