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Article de Anglais | IMSEAR | ID: sea-41281

RÉSUMÉ

OBJECTIVE: The authors report the clinical, radiological, and surgicalfindings ofpatients with craniocervical junction tumors surgically treated in the institution over the last 8 years. MATERIAL AND METHOD: A retrospective study was performed. Clinical, radiological, and operative data were evaluated, and follow-up information was obtained from outpatient examinations, and telephone interviews. RESULTS: There were 25 patients consisting of nine chordomas, eight meningiomas, three cysts, two schwannomas, one each of aneurysmal bone cyst, plasmacytoma, and metastasis. Twenty-nine operative procedures were performed, classified as 12 anterior nine posterior-lateral, and eight posterior approaches. Gross total removal was achieved in 17 cases, subtotal removal in six cases, and partial removal in two cases. Re-operation was performed in six cases. Median follow-up time was 31 months. The authors found significant improvement in Karnofsky Performance Scale scores. CONCLUSION: Appropriate surgical approaches provide successful tumor removal with less surgical morbidities, nevertheless recurrent tumors occasionally occur and so, long-term follow-up is mandatory.


Sujet(s)
Adolescent , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Vertèbres cervicales/anatomopathologie , Enfant , Chordome/anatomopathologie , Fosse crânienne postérieure/anatomopathologie , Femelle , Foramen magnum/anatomopathologie , Humains , Mâle , Méningiome/anatomopathologie , Adulte d'âge moyen , Procédures de neurochirurgie/méthodes , Études rétrospectives , Tumeurs de la base du crâne/anatomopathologie , Facteurs temps , Résultat thérapeutique
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