Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors.

Détails

ID Serval
serval:BIB_804B7C35A0FE
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors.
Périodique
Journal of Clinical Neuroscience
Auteur⸱e⸱s
Chacko A.G., Daniel R.T., Chacko G., Babu K.S.
ISSN
0967-5868 (Print)
ISSN-L
0967-5868
Statut éditorial
Publié
Date de publication
2007
Volume
14
Numéro
8
Pages
764-769
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article ; Technical Report
Résumé
A significant postoperative problem in patients undergoing excision of intramedullary tumors is painful dysesthesiae, attributed to various causes, including edema, arachnoid scarring and cord tethering. The authors describe a technique of welding the pia and arachnoid after the excision of intramedullary spinal cord tumors used in seven cases. Using a fine bipolar forcep and a low current, the pial edges of the myelotomy were brought together and welded under saline irrigation. A similar method was used for closing the arachnoid while the dura was closed with a running 5-0 vicryl suture. Closing the pia and arachnoid restores normal cord anatomy after tumor excision and may reduce the incidence of postoperative painful dysesthesiae.
Mots-clé
Adult, Arachnoid/surgery, Female, Humans, Magnetic Resonance Imaging/methods, Pia Mater/surgery, Postoperative Complications, Retrospective Studies, Spinal Cord/anatomy & histology, Spinal Cord Neoplasms/surgery, Ultrasonography, Doppler/methods, Welding/methods
Pubmed
Web of science
Création de la notice
16/02/2012 14:25
Dernière modification de la notice
20/08/2019 15:40
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