SURGICAL OUTCOME OF INTRADURAL SPINAL TUMOURS

Authors

  • Gohar Ali Mardan medical complex
  • Shahbaz Ali Khan Neurosurgery AMI
  • Ehtisham Ahmed Khan Afridi Ayub Medical Institute, Abbottabad
  • Ahsan Aurangzeb
  • Asghar Ali
  • Shah Khalid

Abstract

Background: This study was conducted to determine the short-term outcome of surgical procedure in patients having spinal intradural tumours. Methods: This cross-sectional study was conducted from 26 April 2016 to 25 March 2019 on 56 patients after approval from hospitals ethical and research committee. MRI spine were studied in detail for all patients to know about the site, size, shape, extent and nature of the tumour. History, examination, pre-operative MRI findings, post-operative findings were documented in patient’s pro forma. Short term as well as long term post-operative results were documented after surgery, during stay at hospital and follow-up visits till 6 months. Results: In this study, 56 patients with spinal intradural tumours were observed. Male to female ratio was 1.33:1. Age ranged from 5–65 years (32.5±14.6). Paraparesis, hypesthesia, sphincter dysfunction were the presenting symptoms in most of the patients. 47% (21) patients improved according to MRC Grading system 46% (20) patients remained static 7% (3) patients deteriorated. Wound infection was found in 7 (12.5%) patients, followed by Neurological Deficit in 5 (8.9%) cases, Meningitis was found in 2 (3.57%), CSF leak was noted in 4 (7.14%) patients and mortality in 1 (1.7%) of the case. Conclusion: Surgery of the intradural spinal tumours carry good neurological outcome with acceptable complication rates.Keywords: Spinal intradural tumours; Neurological deficit; Wound infection; Meningitis; CSF leak

Author Biographies

Gohar Ali, Mardan medical complex

Assistant Professor at department of neurosurgery mardan medical complex Mardan KPK Pakistan.

Shahbaz Ali Khan, Neurosurgery AMI

AMI

Ehtisham Ahmed Khan Afridi, Ayub Medical Institute, Abbottabad

Neurosurgery, Ayub Medical Institute, Abbottabad

References

Traul DE, Shaffrey ME, Schiff D. Spinal-cord neoplasms-intradural neoplasms. Lancet Oncol 2007;8(1):35–45.

Song KW, Shin SI, Lee JY, Kim GL, Hyun YS, Park DY. Surgical Results of Intradural Extramedullary Tumours. Clin Orthop Surg 2009;1(2):74–80.

Avramov T, Kyuchukov G, Kiryakov I, Obreshkov N, Handjiev D, Nedelko R. Results of spinal tumours surery. J IMAB 2009;09:84–8.

Ahn DK, Park HS, Choi DJ, Kim KS, Kim TW, Park SU. The Surgical Treatment for Spinal Intradural Extramedullary Tumours. Clin Orthop Surg 2009;1(3):165–72.

Sun CX, Meng XL, Xie SN, Yu Y, Yang HJ, Wu B. Unilateral hemilaminectomy for patients with intradural extramedullary tumours. J Zhejiang Univ Sci B 2011;12(7):575–81.

Nagasawa DT, Smith ZA, Cremer N, Fong C, Lu DC, Yang I. Complications associated with the treatment for spinal ependymomas. Neurosurg Focus 2011;31(4):E13.

Cooper PR, Epstein F. Radical resection of intramedullary spinal cord tumours in adults. J Neurosurg 1985;63(4):492–9.

Gowers WR, Horsley V. A case of tumour of the spinal cord. Removal; recovery. Med Chir Trans 1888;71:377–430.

DeSousa AL, Kalsbeck JE, Mealey J Jr, Campbell RL, Hockey A. Intraspinal tumours in children. A review of 81 cases. J Neurosurg 1979;51(4):437–45.

Epstein F, Epstein N. Surgical treatment of spinal cord astrocytomas of childhood. A series of 19 patients. J Neurosurg 1982;57(5):685–9.

Ul Haq N, Shah R, Khan HM, Usman M, Ali M. Outcome of surgical management in spinal meningioma: A study of 48 cases. Gomal J Med Sci 2015;13(1):49–53.

Levy WJ, Latchaw J, Hahn JF, Sawhny B, Bay J, Dohn DF. Spinal neurofibromas: A report of 66 cases and a comparison with meningiomas. Neurosurg 1986;18(3):331–4.

Yadla S, Malone J, Campbel PG, Maltenforte MG, Harrop JS, Sharan AD, et al. Early complications in spine surgery and relation to preoperative diagnosis: a single-center prospective study. J Neurosurg Spine 2010;13(3):360–6.

Hufana V, Tan JSH, Tan KK. Microsurgical treatment for spinal tumours. Singapore Med J 2005;46(2):74–7.

Albanese V, Platania N. Spinal intradural extramedullary tumours. Personal experience. J Neurosurg Sci 2002;46(1):18–24.

Klekamp J, Samii M. Surgical results for spinal meningiomas. Surg Neurol 1999;52(6):552–62.

Bhatti SN, Khan SA, Raja RA, Shah R, Aurangzeb A, Khan AA, et al. Outcome of intramedullary spinal cord tumours: experience with 18 patients operated at Ayub Teaching Hospital, Abbottabad. J Ayub Med Coll Abbottabad 2010;22(3):15–7.

Published

2020-02-10

Most read articles by the same author(s)

1 2 3 4 5 > >>