Surgical results of intradural extramedullary tumors
To report the treatment results of 12 patients who underwent a total excision of intradural extramedullary tumors. Twelve cases of histopathologically confirmed intradural extramedullary tumors were treated surgically between February 2002 and March 2005. There were 8 males and 4 females with an ave...
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Veröffentlicht in: | Clinics in orthopedic surgery 2009-06, Vol.1 (2), p.74-80 |
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description | To report the treatment results of 12 patients who underwent a total excision of intradural extramedullary tumors.
Twelve cases of histopathologically confirmed intradural extramedullary tumors were treated surgically between February 2002 and March 2005. There were 8 males and 4 females with an average age of 42.6 years. The mean postoperative follow-up period was 24.2 months. The histopathological findings, locations of the tumors, and clinical results were analyzed. The neurological findings obtained during the preoperative stage and the postoperative follow-up were evaluated according to the Frankel classification.
The histopathological results are as follows: 4 cases of a meningioma, 4 cases of a schwannoma, 2 cases of an epidermoid cyst, 1 case of an arachnoid cyst, and 1 case of an ependymoma. The locations of the tumors were as follows: 7 cases in the thoracic region, 4 cases in the lumbar region, and 1 case in the cervical region. At the final follow-up, a 2-grade and 1-grade improvement was observed in 1 and 7 cases, respectively. There were no changes in the Frankel grade in 4 cases. The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Postoperatively, there were 2 cases of cerebrospinal fluid leakage and 2 cases of paresthesia.
Intradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgically. Therefore, more active surgical approaches by orthopedic surgeons are recommended to decrease morbidity. |
doi_str_mv | 10.4055/cios.2009.1.2.74 |
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Twelve cases of histopathologically confirmed intradural extramedullary tumors were treated surgically between February 2002 and March 2005. There were 8 males and 4 females with an average age of 42.6 years. The mean postoperative follow-up period was 24.2 months. The histopathological findings, locations of the tumors, and clinical results were analyzed. The neurological findings obtained during the preoperative stage and the postoperative follow-up were evaluated according to the Frankel classification.
The histopathological results are as follows: 4 cases of a meningioma, 4 cases of a schwannoma, 2 cases of an epidermoid cyst, 1 case of an arachnoid cyst, and 1 case of an ependymoma. The locations of the tumors were as follows: 7 cases in the thoracic region, 4 cases in the lumbar region, and 1 case in the cervical region. At the final follow-up, a 2-grade and 1-grade improvement was observed in 1 and 7 cases, respectively. There were no changes in the Frankel grade in 4 cases. The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Postoperatively, there were 2 cases of cerebrospinal fluid leakage and 2 cases of paresthesia.
Intradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgically. Therefore, more active surgical approaches by orthopedic surgeons are recommended to decrease morbidity.</description><identifier>ISSN: 2005-291X</identifier><identifier>EISSN: 2005-4408</identifier><identifier>DOI: 10.4055/cios.2009.1.2.74</identifier><identifier>PMID: 19885058</identifier><language>eng</language><publisher>Korea (South): The Korean Orthopaedic Association</publisher><subject>Adult ; Aged ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Original ; Orthopedic Procedures - methods ; Spinal Cord Neoplasms - diagnosis ; Spinal Cord Neoplasms - pathology ; Spinal Cord Neoplasms - surgery ; Young Adult</subject><ispartof>Clinics in orthopedic surgery, 2009-06, Vol.1 (2), p.74-80</ispartof><rights>Copyright © 2009 by The Korean Orthopaedic Association 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-a19a0126c9bb551d464f67b9647c4a53baad8947a6878d7f838806d4503fcc853</citedby><cites>FETCH-LOGICAL-c395t-a19a0126c9bb551d464f67b9647c4a53baad8947a6878d7f838806d4503fcc853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766757/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766757/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19885058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Kyung-Won</creatorcontrib><creatorcontrib>Shin, Sung-Il</creatorcontrib><creatorcontrib>Lee, Jin-Young</creatorcontrib><creatorcontrib>Kim, Gab-Lae</creatorcontrib><creatorcontrib>Hyun, Yoon-Suk</creatorcontrib><creatorcontrib>Park, Deok-Yong</creatorcontrib><title>Surgical results of intradural extramedullary tumors</title><title>Clinics in orthopedic surgery</title><addtitle>Clin Orthop Surg</addtitle><description>To report the treatment results of 12 patients who underwent a total excision of intradural extramedullary tumors.
Twelve cases of histopathologically confirmed intradural extramedullary tumors were treated surgically between February 2002 and March 2005. There were 8 males and 4 females with an average age of 42.6 years. The mean postoperative follow-up period was 24.2 months. The histopathological findings, locations of the tumors, and clinical results were analyzed. The neurological findings obtained during the preoperative stage and the postoperative follow-up were evaluated according to the Frankel classification.
The histopathological results are as follows: 4 cases of a meningioma, 4 cases of a schwannoma, 2 cases of an epidermoid cyst, 1 case of an arachnoid cyst, and 1 case of an ependymoma. The locations of the tumors were as follows: 7 cases in the thoracic region, 4 cases in the lumbar region, and 1 case in the cervical region. At the final follow-up, a 2-grade and 1-grade improvement was observed in 1 and 7 cases, respectively. There were no changes in the Frankel grade in 4 cases. The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Postoperatively, there were 2 cases of cerebrospinal fluid leakage and 2 cases of paresthesia.
Intradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgically. Therefore, more active surgical approaches by orthopedic surgeons are recommended to decrease morbidity.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Orthopedic Procedures - methods</subject><subject>Spinal Cord Neoplasms - diagnosis</subject><subject>Spinal Cord Neoplasms - pathology</subject><subject>Spinal Cord Neoplasms - surgery</subject><subject>Young Adult</subject><issn>2005-291X</issn><issn>2005-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUMtKxDAUDaI44-jelXTnqjVJ89wIMviCARcquAtpmo6VdjImjejfmzLFx-qe-zr33APAKYIFgZRemNaFAkMoC1TggpM9ME8ZzQmBYn_CWKKXGTgK4Q1CRhmHh2CGpBAUUjEH5DH6dWt0l3kbYjeEzDVZuxm8rqNPVfuZYG_r2HXaf2VD7J0Px-Cg0V2wJ1NcgOeb66flXb56uL1fXq1yU0o65BpJDRFmRlYVpagmjDSMV5IRboimZaV1LSThmgkuat6IUgjIakJh2RgjaLkAlzvebaySBmNHXZ3a-rZPYpTTrfrf2bSvau0-FOaMccoTwflE4N17tGFQfRuMTb9srItB8ZIgjJCUaRLuJo13IXjb_FxBUI1eq9FrNXqtkMKKk7Ry9lfd78JkbvkNgN58lw</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Song, Kyung-Won</creator><creator>Shin, Sung-Il</creator><creator>Lee, Jin-Young</creator><creator>Kim, Gab-Lae</creator><creator>Hyun, Yoon-Suk</creator><creator>Park, Deok-Yong</creator><general>The Korean Orthopaedic Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090601</creationdate><title>Surgical results of intradural extramedullary tumors</title><author>Song, Kyung-Won ; Shin, Sung-Il ; Lee, Jin-Young ; Kim, Gab-Lae ; Hyun, Yoon-Suk ; Park, Deok-Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-a19a0126c9bb551d464f67b9647c4a53baad8947a6878d7f838806d4503fcc853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Orthopedic Procedures - methods</topic><topic>Spinal Cord Neoplasms - diagnosis</topic><topic>Spinal Cord Neoplasms - pathology</topic><topic>Spinal Cord Neoplasms - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Kyung-Won</creatorcontrib><creatorcontrib>Shin, Sung-Il</creatorcontrib><creatorcontrib>Lee, Jin-Young</creatorcontrib><creatorcontrib>Kim, Gab-Lae</creatorcontrib><creatorcontrib>Hyun, Yoon-Suk</creatorcontrib><creatorcontrib>Park, Deok-Yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinics in orthopedic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Kyung-Won</au><au>Shin, Sung-Il</au><au>Lee, Jin-Young</au><au>Kim, Gab-Lae</au><au>Hyun, Yoon-Suk</au><au>Park, Deok-Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical results of intradural extramedullary tumors</atitle><jtitle>Clinics in orthopedic surgery</jtitle><addtitle>Clin Orthop Surg</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>1</volume><issue>2</issue><spage>74</spage><epage>80</epage><pages>74-80</pages><issn>2005-291X</issn><eissn>2005-4408</eissn><abstract>To report the treatment results of 12 patients who underwent a total excision of intradural extramedullary tumors.
Twelve cases of histopathologically confirmed intradural extramedullary tumors were treated surgically between February 2002 and March 2005. There were 8 males and 4 females with an average age of 42.6 years. The mean postoperative follow-up period was 24.2 months. The histopathological findings, locations of the tumors, and clinical results were analyzed. The neurological findings obtained during the preoperative stage and the postoperative follow-up were evaluated according to the Frankel classification.
The histopathological results are as follows: 4 cases of a meningioma, 4 cases of a schwannoma, 2 cases of an epidermoid cyst, 1 case of an arachnoid cyst, and 1 case of an ependymoma. The locations of the tumors were as follows: 7 cases in the thoracic region, 4 cases in the lumbar region, and 1 case in the cervical region. At the final follow-up, a 2-grade and 1-grade improvement was observed in 1 and 7 cases, respectively. There were no changes in the Frankel grade in 4 cases. The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Postoperatively, there were 2 cases of cerebrospinal fluid leakage and 2 cases of paresthesia.
Intradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgically. Therefore, more active surgical approaches by orthopedic surgeons are recommended to decrease morbidity.</abstract><cop>Korea (South)</cop><pub>The Korean Orthopaedic Association</pub><pmid>19885058</pmid><doi>10.4055/cios.2009.1.2.74</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Female Humans Magnetic Resonance Imaging Male Middle Aged Original Orthopedic Procedures - methods Spinal Cord Neoplasms - diagnosis Spinal Cord Neoplasms - pathology Spinal Cord Neoplasms - surgery Young Adult |
title | Surgical results of intradural extramedullary tumors |
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