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Surgery of intramedullary spinal cord tumors, our expérience
Author(s):
R. kouadria
Affiliations:
UDL, NEUROCHIRURGIE, SIDI BEL ABBES, Algeria
EANS Academy. kouadria r. Oct 21, 2018; 226007; EP4134
rabah kouadria
rabah kouadria
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Abstract
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BACKGROUND
Intramedullary spinal cord tumors are rare lesions. In the past the treatment emphasized biopsy and radiation/chemotherapy. Nowadays, due to the improvement of the tools of microsurgery and intraoperative neurophysiological monitoring (IOM), radical surgery excision became the primary modality of treatment.
OBJECTIVE
Report our experience of microsurgical resection of intra medullary spinal cord tumors without using CUSA and IOM.
METHOD
Forty two patients were diagnosed with primary intramedullary tumors. Complete microsurgical removal was attempted whenever possible.Both the IOM and the CUSA are not available in our department further both were never used.
RESULTS
Neurological outcome remains the same after aggressive microsurgical resection in the patients with moderate preoperative deficits.
CONCLUSION
Despite the rarity of intramedullary spinal cord tumors, they remain important clinical entities which should be diagnosed early and treated conveniently and efficiently thanks to imaging tools and surgical advances.
Key words: intramedullary spinal cord tumors, microsurgery, neurological status.
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