A survey of 65 tumors within the spinal cord: surgical results and the importance of preoperative magnetic resonance imaging.

Details

Serval ID
serval:BIB_06945646C64B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A survey of 65 tumors within the spinal cord: surgical results and the importance of preoperative magnetic resonance imaging.
Journal
Neurosurgery
Author(s)
Brotchi J., Dewitte O., Levivier M., Balériaux D., Vandesteene A., Raftopoulos C., Flament-Durand J., Noterman J.
ISSN
0148-396X (Print)
ISSN-L
0148-396X
Publication state
Published
Issued date
11/1991
Peer-reviewed
Oui
Volume
29
Number
5
Pages
651-657
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Between January 1984 and December 1990, 65 intramedullary spinal cord tumors were diagnosed and operated on. In this series, all patients underwent magnetic resonance imaging investigations and were operated on with the Cavitron ultrasonic surgical aspirator whenever necessary. Major surgical difficulties have been found in patients previously treated by radiotherapy with or without biopsy. We found magnetic resonance imaging to be a highly sensitive imaging procedure and the method of choice for visualizing tumors within the spinal cord. Nevertheless, accurate diagnosis may only be suggested by magnetic resonance imaging, rather than made definitively. Surgery is necessary in every case in order to obtain a definite diagnosis. Radical surgery can be performed when a plane exists between the tumor and the normal spinal cord: biopsy or debulking with the Cavitron ultrasonic surgical aspirator should be performed when the tumor is infiltrative. We have performed 33 so-called total resections, 22 partial resections, and 10 biopsies, among which 5 were performed on lipomas. Surgical results were assessed at 3 months after surgery, showing 35 improvements (53%), 24 stabilizations (37%), and 6 deteriorations (10%).
Keywords
Adolescent, Adult, Aged, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Magnetic Resonance Imaging, Male, Middle Aged, Outcome Assessment (Health Care), Spinal Cord Neoplasms/diagnosis, Spinal Cord Neoplasms/pathology
Pubmed
Web of science
Create date
20/01/2008 17:35
Last modification date
20/08/2019 12:28
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