Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors

Background Data: Intradural extramedullary tumors are mostly benign lesions that often present late due to their slow rate of growth. Recent advances in the field of neuro-imaging have greatly increased the ability to identify these tumors in early stages. The most effective treatment modality for t...

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Autores principales:	Mohamed Elzoghby, Abdel Aal Abdel Baky
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2015
Materias:	Intradural extramedullary tumors spinal cord tumors functional outcome Nurick’s Functional Grading Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/608ea31dd5f04149b81e16ed7cf813ad
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spelling	oai:doaj.org-article:608ea31dd5f04149b81e16ed7cf813ad2021-12-02T04:47:32ZFunctional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord TumorsDOI:10.21608/ESJ.2015.39762314-89502314-8969https://doaj.org/article/608ea31dd5f04149b81e16ed7cf813ad2015-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3976.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Intradural extramedullary tumors are mostly benign lesions that often present late due to their slow rate of growth. Recent advances in the field of neuro-imaging have greatly increased the ability to identify these tumors in early stages. The most effective treatment modality for these tumors is gross total resection, which can sometimes be associated with neurological morbidity and functional impairment. Purpose: to evaluate the functional outcomes following surgical excision of intradural extramedullary spinal tumors. Study Design: This is a retrospective cohort clinical case study. Patients and Methods: In this study the medical records of patients who underwent surgery for intradural extramedullary tumors at Ain Shams University Hospitals and Banha University Hospital between 2012 and 2015 were reviewed. Patient’s demographics, clinical presentation, radiographic findings, tumor location, histopathological findings and neurological outcome were documented from patients’ files. Pain was evaluated by Visual Analog Scale and neurological function was graded before and after surgery by Nurick’s Functional Grading System. Results: This study included sixteen patients with intradural extramedullary mass lesions. Six were males (37%) and 10 were females (63%), mean age at presentation was 41 years (range 24 to 63 years). Histopathologically, there were 10 schwannomas (62%), 4 meningioma (%25) and 2 Neurofibromas (%13). Based on the location, we had 9 thoracic, 3 cervical and 3 lumbar lesions. There was improvement of the mean VAS score from 7.8 preoperative to 1.6 postoperative, as well as the mean Nurick’s grade from 3.1 preoperatively to1.6 postoperatively. Conclusion: Intradural extramedullary tumors are almost benign and slowly growing lesions that may be asymptomatic for many years before presentations. These tumors can be surgically excised through a standard posterior approach. Favorable outcome can be achieved by early diagnosis andearly treatment with maximal tumor resection. (2015ESJ100) Mohamed ElzoghbyAbdel Aal Abdel BakyEgyptian Spine AssociationarticleIntradural extramedullary tumorsspinal cord tumorsfunctional outcomeNurick’s Functional GradingNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 16, Iss 1, Pp 14-21 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intradural extramedullary tumors spinal cord tumors functional outcome Nurick’s Functional Grading Neurology. Diseases of the nervous system RC346-429
spellingShingle	Intradural extramedullary tumors spinal cord tumors functional outcome Nurick’s Functional Grading Neurology. Diseases of the nervous system RC346-429 Mohamed Elzoghby Abdel Aal Abdel Baky Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
description	Background Data: Intradural extramedullary tumors are mostly benign lesions that often present late due to their slow rate of growth. Recent advances in the field of neuro-imaging have greatly increased the ability to identify these tumors in early stages. The most effective treatment modality for these tumors is gross total resection, which can sometimes be associated with neurological morbidity and functional impairment. Purpose: to evaluate the functional outcomes following surgical excision of intradural extramedullary spinal tumors. Study Design: This is a retrospective cohort clinical case study. Patients and Methods: In this study the medical records of patients who underwent surgery for intradural extramedullary tumors at Ain Shams University Hospitals and Banha University Hospital between 2012 and 2015 were reviewed. Patient’s demographics, clinical presentation, radiographic findings, tumor location, histopathological findings and neurological outcome were documented from patients’ files. Pain was evaluated by Visual Analog Scale and neurological function was graded before and after surgery by Nurick’s Functional Grading System. Results: This study included sixteen patients with intradural extramedullary mass lesions. Six were males (37%) and 10 were females (63%), mean age at presentation was 41 years (range 24 to 63 years). Histopathologically, there were 10 schwannomas (62%), 4 meningioma (%25) and 2 Neurofibromas (%13). Based on the location, we had 9 thoracic, 3 cervical and 3 lumbar lesions. There was improvement of the mean VAS score from 7.8 preoperative to 1.6 postoperative, as well as the mean Nurick’s grade from 3.1 preoperatively to1.6 postoperatively. Conclusion: Intradural extramedullary tumors are almost benign and slowly growing lesions that may be asymptomatic for many years before presentations. These tumors can be surgically excised through a standard posterior approach. Favorable outcome can be achieved by early diagnosis andearly treatment with maximal tumor resection. (2015ESJ100)
format	article
author	Mohamed Elzoghby Abdel Aal Abdel Baky
author_facet	Mohamed Elzoghby Abdel Aal Abdel Baky
author_sort	Mohamed Elzoghby
title	Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
title_short	Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
title_full	Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
title_fullStr	Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
title_full_unstemmed	Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors
title_sort	functional outcomes following surgical management of intradural extramedullary spinal cord tumors
publisher	Egyptian Spine Association
publishDate	2015
url	https://doaj.org/article/608ea31dd5f04149b81e16ed7cf813ad
work_keys_str_mv	AT mohamedelzoghby functionaloutcomesfollowingsurgicalmanagementofintraduralextramedullaryspinalcordtumors AT abdelaalabdelbaky functionaloutcomesfollowingsurgicalmanagementofintraduralextramedullaryspinalcordtumors
_version_	1718401008154968064

Functional Outcomes following Surgical Management of Intradural Extramedullary Spinal Cord Tumors

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