Congenital inclusion tumours in spinal dysraphism.
Indian J Pediatr
;
2010 Feb; 77(2): 167-170
Artigo
em Inglês
| IMSEAR
| ID: sea-142494
ABSTRACT
Objective. To review the presentation, diagnosis and management of children with spinal dysraphism and CIT. Methods. It is a retrospective review of 146 children of spina bifida over 9 years (2000-2008) and details the clinical course and outcome of seven with associated congenital inclusion tumors. Results. 7/146 (4.7%) had spina bifida with CIT, 5 dermoid cysts and 2 mature teratoma. The diagnosis was missed by the primary physician even in the presence of a neurocutaneous marker. Spinal imaging with MRI was conclusive. All were managed with multilevel laminectomy, near total/total excision of the CIT and detethering of cord. Intramedullary involvement and established neurological deficits at presentation were associated with persistent deficits. Conclusion. Early detection and comprehensive management of CIT with spinal dysraphism ensures social fecourinary continence, preserves renal function, achieves ambulation and enables patients to lead an acceptable quality of life.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Neoplasias da Medula Espinal
/
Teratoma
/
Feminino
/
Humanos
/
Masculino
/
Recém-Nascido
/
Imageamento por Ressonância Magnética
/
Criança
/
Pré-Escolar
/
Estudos Retrospectivos
Tipo de estudo:
Estudo observacional
/
Estudo de rastreamento
Idioma:
Inglês
Revista:
Indian J Pediatr
Ano de publicação:
2010
Tipo de documento:
Artigo
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