Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors.
Details
Serval ID
serval:BIB_804B7C35A0FE
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors.
Journal
Journal of Clinical Neuroscience
ISSN
0967-5868 (Print)
ISSN-L
0967-5868
Publication state
Published
Issued date
2007
Volume
14
Number
8
Pages
764-769
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Technical Report
Abstract
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.
Keywords
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
Create date
16/02/2012 14:25
Last modification date
20/08/2019 15:40