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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-11
Outcome Analyses after Microsurgical Resection of Intra Medullary Spinal Cord Tumors: Our Institutional Experience
Dr. N.V.S. Sunil Kumar, Dr. Uday Goutam Nookathota, Dr. Prakash Rao Gollapudi, Dr. Sandeep Raja Pittala, Dr. Dhanunjaya Rao Ginjupally, Dr. Alluri Neeraja, Dr. Musali Siddartha Reddy
Published: Nov. 30, 2018 | 143 150
DOI: 10.36347/sjams.2018.v06i11.010
Pages: 4206-4212
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Abstract
Intramedullary spinal cord tumors are rare entity accounting for 5-6% of all central nervous system tumors. Surgery, once used for the diagnosis of intramedullary spinal cord tumors, now represents the most effective treatment of benign well-circumscribed tumors. Long-term tumor control or cure, with preservation of neurologic function, can be achieved in most patients with microsurgical removal alone. We analyzed the clinical profile and outcome of microsurgical resection, and histological diagnosis of all intramedullary lesions. Post-operative status of functional outcome in relation to extent of resection was also analyzed. Among the intramedullary tumors ependymoma is the commonest lesion with good plane of cleavage, amenable to complete microsurgical resection. Prognosis depends on preoperative neurological status, plane of cleavage, extent of resection, nature and subtype of the lesion.