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Primary filum terminale ependymoma: a series of 16 cases / Ependimoma primário de filum terminale: análise de uma série de 16 casos

Meneses, Murilo S; Leal, André Giacomelli; Periotto, Larissa B; Milano, Jerônimo Buzetti; Coelho-Net, Maurício; Sobral, Ana Cristina; Ramina, Ricardo.
Arq. neuropsiquiatr ; 66(3a): 529-533, set. 2008. ilus, tab
Artículo en Inglés | LILACS | ID: lil-492575
Filum terminale ependymomas are slow growing tumors of the cauda equina with a high incidence in young adults. Although a complete microsurgical resection can lead to a cure, recurrence is not uncommon. Sixteen cases of filum terminale ependymomas treated at the Instituto de Neurologia de Curitiba were analyzed. Eleven patients were females and 5 males, their age ranging from 7 to 84 years. Symptoms and signs included lumbar pain (31.25 percent), radicular pain (56.25 percent) and neurological deficits (12.5 percent). In three cases, patients had previously undergone surgery in other hospitals. All were tested through MRI and were operated on. Two underwent a laminoplasty and 14 a laminectomy. The last 8 patients of this series had neuro-physiological monitoring during surgery. In all patients a total microsurgical resection was achieved. Histologically, 2 cases were cellular ependymomas and 14 cases myxopapillary ependymomas. There was no recurrence during a 2 to 84 month follow-up period.
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