Dorsal Intramedullary Tumours Five Years Experiences and Review of Literature
Keywords:
Intamedullary tumours, Neuro-spinal surgery
Abstract
Fourteen patients admitted with intramedullary spinal cord tumours and operated at Medical College, Kolkata, during a five year period from January 2008. Five tumours were radically resected, 9 partially excised. Radiation therapy was advised post-operatively to all patients. There was no post-operative mortality. Three patients developed wound infection. Postoperative clinical assessment between four to eight weeks after surgery showed that 4 out of 14 patients improved, 6 remained unchanged, while 4 had worsening of deficits. Immediate post-operative assessment, however,
was less encouraging. The follow up period ranged from 2 weeks to 36 months after discharge from hospital. The indicators of radical excision were good tumour-cord interface, presence of syringomyelia and histology of benign lesions. One patient had recurrence of tumour.
References
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16. Herrmann HD, Neuss M, Winkler D : Intramedullary spinal cord tumors resected with CO2 laser microsurgical technique : Recent experience with 15 patients. Neurosurgery. 1988;22:518-522.
17. Citow JS, Ammirati M : Intramedullary tuberculoma of the spinal cord : case report. Neurosurgery. 1994; 35(2) : 327-330.
18. Youmans Neurological Surgery 5th Edition.
19. Stein BM, Mccormick PC : Intramedullary neoplasms and vascular malformations. Clin Neurosurg. 1991; 39 : 361-387.
20. Samii M, Kleklamp J : Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia. Neurosurgery. 1994; 35:865-873.
21. Sweet & Smideck : Operative Neurosurgery.
22. Guidetti B, Mercuri S, Vagbozzi R : Long term results of the surgical treatment of 129 intramedullary spinal gliomas. J Neurosurg. 1981; 54:323-330.
23. Guidetti B, Fortuna A : Differential diagnosis of intramedullary and extramedullary tumors. In : Handbook of Clinical Neurology, (Eds) Vinken PJ, Bruyn GW. Amsterdam, North Holland 1975; 19:51-75.
24. Epstein FJ, Farmer JP, Freed D : Adult intramedullary astrocytomas of the spinal cord. J Neurosurg. 1992; 77:355-359.
25. Kopelson G, Linggood RM, Kleinmann GM : Management of intramedullary spinal cord tumors. Radiology 1980;135: 473-479.
26. Minehan KJ, Shaw EG, Scheithauer BW et al. Spinal cord astrocytoma : pathological and treatment considerations. J Neurosurg. 1995; 83:590-595
27. Mccormick PC, Torres R, Post KD et al. Intramedullary ependymoma of the spinal cord. J Neurosurg. 1990; 72:523-532.
28. Guidetti B, Fortuna A : Surgical treatment of intramedullary haemangioblastomas of the spinal cord. J Neurosurg. 1967; 27:530-540
29. Ramamurthi & Tandon : Textbook of Neurosurgery.
30. Robert F Spetzler : Resection of Intramedullary cord tumour using hand held CO2 laser fiber; Neurosurgery & Spine; September 2008.
2. Stein BM. Intramedullary spinal cord tumors. Clin Neurosurg. 1982;30: 717-741.
3. Poppen JL. An atlas of neurosurgical techniques. Philadelphia & London: W.B. Saunders & Co. 1960:424-428.
4. Greenwood Jr J. Total removal of intramedullary tumors. J Neurosurg. 1954;11:616-621.
5. Malis LI. Intramedullary spinal cord tumors. Clin Neurosurg. 1978;25: 512-539.
6. Stein BM. Surgery of intramedullary spinal cord tumors. Clin Neurosurg. 1979;26:529-542.
7. Brotchi J, Dewitt O, Levivier M, et al. A survey of 65 tumors within spinal cord: surgical results and the importance of preoperative magnetic resonance imaging. Neurosurgery. 1991;29:651-657.
8. Jallo GI, Danish S, Velasquez, et al. Intramedullary lowgrade astro¬cytomas: long-term outcome following radical surgery. J Neuro Oncol. 2001;53:61-66.
9. Balmaceda C. Chemotherapy for intramedullary spinal cord tumors. J Neuro Oncol. 2000;47:293-307.
10. Isaacson SR. Radiation therapy and the management of intamedullary spinal cord tumors. J Neuro Oncol. 2000;47:231- 238.
11. Jyothirmayi R, Madhavam J, Nain MK, et al. Conservative surgery and radiotherapy in the treatment of spinal cord astrocitomas. J Neuro Oncol. 1997;33:205-211.
12. Parsa AT, McCormick PC. Intramedullary spinal tumors: recent advances and future directions. Neurosurg Clin N Am. 2006;17:ix.
13. McCormick PC, Stein BM. Intramedullary tumors in adults. Neurosurg Clin N Am. 1990;1:609-630.
14. Garrido E, Stein BM. Microsurgical removal of intramedullary spinal cord tumors. Surg Neurol. 1979;7:215-219.
15. Cooper PR , Epstein F : Radical resection of intramedullary spinal cord tumours in adults. Recent experience in 29 patients. J Neurosurg. 1985;63:492-499.
16. Herrmann HD, Neuss M, Winkler D : Intramedullary spinal cord tumors resected with CO2 laser microsurgical technique : Recent experience with 15 patients. Neurosurgery. 1988;22:518-522.
17. Citow JS, Ammirati M : Intramedullary tuberculoma of the spinal cord : case report. Neurosurgery. 1994; 35(2) : 327-330.
18. Youmans Neurological Surgery 5th Edition.
19. Stein BM, Mccormick PC : Intramedullary neoplasms and vascular malformations. Clin Neurosurg. 1991; 39 : 361-387.
20. Samii M, Kleklamp J : Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia. Neurosurgery. 1994; 35:865-873.
21. Sweet & Smideck : Operative Neurosurgery.
22. Guidetti B, Mercuri S, Vagbozzi R : Long term results of the surgical treatment of 129 intramedullary spinal gliomas. J Neurosurg. 1981; 54:323-330.
23. Guidetti B, Fortuna A : Differential diagnosis of intramedullary and extramedullary tumors. In : Handbook of Clinical Neurology, (Eds) Vinken PJ, Bruyn GW. Amsterdam, North Holland 1975; 19:51-75.
24. Epstein FJ, Farmer JP, Freed D : Adult intramedullary astrocytomas of the spinal cord. J Neurosurg. 1992; 77:355-359.
25. Kopelson G, Linggood RM, Kleinmann GM : Management of intramedullary spinal cord tumors. Radiology 1980;135: 473-479.
26. Minehan KJ, Shaw EG, Scheithauer BW et al. Spinal cord astrocytoma : pathological and treatment considerations. J Neurosurg. 1995; 83:590-595
27. Mccormick PC, Torres R, Post KD et al. Intramedullary ependymoma of the spinal cord. J Neurosurg. 1990; 72:523-532.
28. Guidetti B, Fortuna A : Surgical treatment of intramedullary haemangioblastomas of the spinal cord. J Neurosurg. 1967; 27:530-540
29. Ramamurthi & Tandon : Textbook of Neurosurgery.
30. Robert F Spetzler : Resection of Intramedullary cord tumour using hand held CO2 laser fiber; Neurosurgery & Spine; September 2008.
Published
2019-08-12
How to Cite
Dr.Sandip Pal, Chakravarty KS, Chatterjee S, Pal S, Chatterjee S, Chatterjee C. (2019). Dorsal Intramedullary Tumours Five Years Experiences and Review of Literature. The Indian Practitioner, 68(6), 60-65. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/605
Section
Original Article
