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
Author(s)
Chacko A.G., Daniel R.T., Chacko G., Babu K.S.
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
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