Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka

Islam, Aminul; Afreen, Maj Shamantha; Montemurro, Nicola; Chaurasia, Bipin

doi:10.3390/surgeries2030030

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…Primary tumors of the cauda equina are rare lesions. [ 13 , 14 ] Most commonly, they are ependymomas and schwannomas. HBs account for 1.6%–2.1% of all spinal cord tumors.…”

Section: Discussionmentioning

confidence: 99%

Sporadic hemangioblastoma of cauda equina

Chaurasia¹,

Oria²,

Giraldi³

et al. 2022

Journal of Craniovertebral Junction and Spine

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Background Hemangioblastomas (HBs) are rare lesions accounting for 1%–5% of all spinal cord tumors, and are mostly associated with Von Hippel-Lindau (VHL) syndrome. Localization in the cauda equina is uncommon. Aim: In this manuscript, we aimed to describe a rare case of sporadic intradural extramedullary HB of the cauda equina and present a literature review. Mathods: A systematic research was performed on PubMed, MEDLINE, and Google Scholar, using the keywords “spinal HB” and “cauda equina tumors.” The previous literature is integrated by the description of the present case. A 49-year-old female presented in August 2020 to our institution with a magnetic resonance imaging (MRI) which showed an intradural mass at L1/2 level and angiography that showing a nidus of serpiginous vessels inside the lesion. Symptoms were right sciatica and paresthesia in right L5 radicular dermatome for more than 3 months. Neurological examination revealed claudicatio spinalis and hypoesthesia on right L5 dermatome and weakness of right anterior tibialis muscle. Microsurgical en bloc resection of lesion was performed with adjuvant neurophysiological intraoperative monitoring. The histological examination provided the diagnosis of HB. Results: After surgery, symptoms and neurological impairment gradually improved. Postoperative MRI showed no residual tumor. Conclusions: Although intradural extramedullary HB of the cauda equina without VHL syndrome is a rare pathological entity, this diagnosis must be taken in consideration when a mass affects cauda equina. Preoperative embolization is an option to minimize intraoperative bleeding. Radiosurgery seems to prevent recurrences when the tumor is not completely excised. A complete surgical removal of the lesion is usually possible and it leads to a low likelihood of recurrence.

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“…Primary tumors of the cauda equina are rare lesions. [ 13 , 14 ] Most commonly, they are ependymomas and schwannomas. HBs account for 1.6%–2.1% of all spinal cord tumors.…”

Section: Discussionmentioning

confidence: 99%

Sporadic hemangioblastoma of cauda equina

Chaurasia¹,

Oria²,

Giraldi³

et al. 2022

Journal of Craniovertebral Junction and Spine

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“…A. Surgery Surgery is the gold treatment standard for spinal cord tumors [45]. This is because of the high success rate of removing tumors once considered inaccessible [45].…”

Section: Treatment Alternatives Of the Spinal Cord Tumormentioning

confidence: 99%

“…Surgery Surgery is the gold treatment standard for spinal cord tumors [45]. This is because of the high success rate of removing tumors once considered inaccessible [45]. Different factors are put into keen consideration when employing surgical resection as the treatment option for spinal cord tumors.…”

Section: Treatment Alternatives Of the Spinal Cord Tumormentioning

confidence: 99%

“…Different factors are put into keen consideration when employing surgical resection as the treatment option for spinal cord tumors. They include the tumor site, the grade of the tumor, the symptoms present, the patient's age, and the involvement of [45]. If the affected site is just around the spinal column, surgery may be performed to completely eradicate the tumors [17].…”

Section: Treatment Alternatives Of the Spinal Cord Tumormentioning

confidence: 99%

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Evaluation of the Treatment Alternatives for Spinal Cord Tumors Using Analytical Evaluation Models

Onakpojeruo¹,

Uzun

Ozsahin

et al. 2022

Preprint

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Spinal cord tumors are the abnormal mass of cells that grow, divide and multiply uncontrollably in the spinal cord. Treatment of spinal cord tumors depends on the type, the affected site, the level of complications, and the spread levels. The treatment of spinal cord tumors is not limited to conventional chemotherapy, radiotherapy, and surgery methods but also other techniques, including immunotherapy, targeted therapy, proton therapy, interventional radiology, radiofrequency ablation, and cryoablation. This study compares the treatment alternatives for spinal cord tumors using a multi-criteria decision-making technique called the fuzzy preference ranking organization method for enrichment evaluations (PROMETHEE). These alternatives are evaluated based on certain criteria, which include reliability, use in isolation, cost of treatment, complications during use, side effects, pain relief rate, recovery period, session duration, necrotic tumor rate, and survival rate. The results show that radiofrequency ablation with the highest net outranking flow (0.2604) was the most preferred treatment alternative for the spinal cord tumor. Followed by cryoablation (with 0.1370 net flow), and then, surgery with (-0.0415 net flow). This study indicates that the fuzzy PROMETHEE technique is very effective in producing solutions for health care decision-makers facing problems of uncertainty and can be improved with the availability of more alternatives and criteria based on the specific needs of the patients individually.

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“…However, as we approach the end of 2023, we have published over 150 papers contributed by 816 authors from 42 different countries. We are proud to observe that some of our papers have been cited more than 10 times, have had more than 12,000 views, or have been downloaded almost 1500 times [1][2][3].…”

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confidence: 99%