Treatment of multisegmental intramedullary cervical spinal cord ependymomas / 中华外科杂志
Chinese Journal of Surgery
;
(12): 705-707, 2007.
Artigo
em Chinês
| WPRIM
| ID: wpr-342093
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the possibility of microneurosurgery techniques in the treatment of multisegmental intramedullary cervical spinal cord ependymomas.</p><p><b>METHODS</b>The clinical data of 26 cases of multisegmental intramedullary cervical spinal cord ependymomas patients was reviewed and analyzed.</p><p><b>RESULTS</b>There were 14 cases of cervical spinal cord ependymomas, 12 cases of cervical and thoracic spinal cord ependymomas. 4.5 spinal cord segments were involved in average. Incompletely inferior paraplegia was in 18 cases, incompletely high paraplegia in 8 cases, dyspnea in 6 cases, sphincter dysfunction in 10 cases. MRI detected syringomyelia formation in 24 cases. Vertebral lamina reposition were done in 20 cases. Muscle strength recovered in 21 cases, no change in 4 cases, aggravated in 1 case. All cases had total resection and 1 cases vertebral had instability in MRI.</p><p><b>CONCLUSIONS</b>Total resection of intramedullary cervical spinal cord ependymomas can be achieved by microneurosurgery. Most of the symptoms can be released after microsurgical treatment. After multisegmental laminotomy, the vertebral plate reposition should be done to ensure the stability.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Neoplasias da Medula Espinal
/
Cirurgia Geral
/
Vértebras Cervicais
/
Estudos Retrospectivos
/
Seguimentos
/
Resultado do Tratamento
/
Procedimentos Neurocirúrgicos
/
Ependimoma
/
Métodos
/
Microcirurgia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
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