A large Intradural Intramedullary Pilocytic Astrocytoma of Spinal Cord: Complete Resection with Improved Neurology
Journal Title: Nepal Journal of Neuroscience - Year 2014, Vol 11, Issue 1
Abstract
Intramedullary tumors of spinal cord are rare. We present a case of Pilocytic astrocytoma of spinal cord in a 9-year-old girl who presents with tetraparesis. Although the ideal management of astrocytoma of spinal cord is still unclear, with advanced microsurgical technique and availability of neurophysiological monitoring, total excision of the tumor should be the goal. In this case gross total resection was achieved without intraoperative neurophysiological monitoring. Functional status improved from modifi ed McCormick IV preoperatively to grade III in 6 weeks.
Authors and Affiliations
Prakash Paudel, MBBS
An unusual case of Cervical intramedullary neurocysticercosis mimicking ependymoma
Neurocysticercosis is a common parasitic infection of the central nervous system, caused by larvae of Taeniasolium. Cysticercosis of spine is less common compared to that of brain itself. Anatomically, spinal cysticercos...
Conventional Radiation Therapy for Huge Surgically Incurable Pituitary Adenomas: Results of a Long-term Retrospective Study
In patients with huge pituitary adenomas that cannot be controlled by surgery alone, radiotherapy remains the basic treatment option. In the absence of studies that investigated the time required for the manifestation of...
A Case of Pyogenic Spondylitis Treated by Multi-staged Surgery
Pyogenic spondylitis is an acute infencitious condition with rapid progession and worse clinical outcome if not detected in time. A 63-year-old female, presented with fever, middle-back pain and acutely progressing parap...
Ear-lobe Crease: A Sign of Cerebrovascular Risk
Atherosclerotic diseases (ASD) such as cerebrovascular accident (CVA) and cardiovascular disease (CVD) are the leading causes of morbidity and mortality in the modern world. Diagonal ear-lobe crease (ELC), a physical sig...
Understanding and Responding to ‘Iatrogenesis’
Special Review ArticleIn the usual circumstances, medical treatment helps the patient recover from the illness. However, on occasions, medical intervention does harm rather than good. This review is an attempt to analyze...