RESUMO
The authors present 11 patients operated on for metastatic tumours of the vertebral canal. The main symptom was pain lasting for from 3 weeks to 8 months prior to the development of spinal cord compression. The primary focus was diagnosed and treated primarily surgically in only 2 patients. In all cases laminectomy was done for removal of the epidural or intravertebral body part of the tumour and in 3 patients posterior spondylodesis was done additionally. The fate of 3 patients is unknown. Three patients died. The results of the treatment of 5 patients were assessed from 3 to 40 months after operation. The authors review in the light of the pertinent literature the modern methods of management which depend mainly on the location of the tumour.
Assuntos
Neoplasias da Medula Espinal/patologia , Neoplasias da Coluna Vertebral/secundário , Neoplasias da Coluna Vertebral/cirurgia , Adulto , Idoso , Vértebras Cervicais/cirurgia , Embolização Terapêutica , Feminino , Humanos , Laminectomia , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Neoplasias da Medula Espinal/diagnóstico , Neoplasias da Medula Espinal/cirurgia , Transtornos Urinários/etiologiaRESUMO
The authors present 2 cases of non-traumatic, so called "spontaneous" rhinorrhea. The pathological mechanism of CSF nasal fistula and operation methods are discussed.