STUDY OF CLINICAL PROFILE AND MANAGEMENT OF INTRADURAL EXTRAMEDULLARY SPINAL CORD (IDEM) TUMOURS (CONDUCTED AT A TERTIARY CARE CENTER IN CENTRAL MAHARASHTRA)

ABSTRACT

Aims and objectives: This study aims to analyse the complete profile of patients diagnosed and treated as IDEM spinal cord tumours. The factors studied include age, sex, clinical presentations, histopathology, surgical outcome and post operative recurrence. It is a single center prospective study conducted over a peri Materials and method: od of 18 months. Patient demographics, severity and duration of symptoms, and tumor characteristics (anatomical and pathological) in all operated spinal IDEM tumors were collected. The neurological findings obtained during the preoperative stage and the postoperative follow-up were evaluated according to the Frankel and Nurick grading. The back pain was assessed with help of the Denis pain scale (DPS). Data collected throughout preoperative and postoperative examination and investigations were analyzed and submitted to statistical procedures. Our study Results and analysis: included30 patients, majority being young adults between 20 to 30 years (46.66%). The male and female ratio in our study was 21. Predominant presentation was sensory symptoms like numbness, paraesthesia in extremeties (66.66%), followed by pain in back, limbs (33.33%). The most common location found was dorsal cord (50%) followed by lumbar(36.66%). The histopathological examination showed meningioma to be the most common (56.66%), followed by schwannoma (20%), and neurofibroma (16.66%). Pseudomeningocoele was the only complication encountered. Out of 30 patients we had operated, we could achieve total excision in 27 patients (90%). There was no postoperative worsening of symptoms, and no recurrence. The clinical and pre and postoperative profile suggested Summary and Conclusion: IDEM spinal cord tumours were common in 3rd decade, with male predominance. Commonest location was dorsal area with meningioma being the commonest histopathological finding.