Clinical Analysis of Spinal Tumours at a Tertiary Care Center
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Tumours of the spinal cord have long been a welcome entity for the neurosurgeons because in contrast to the brain tumour, they are in majority benign, circumscribed & surgically accessible. The post-operative outcome of spinal cord tumours is good and gratifying for both patients and neurosurgeons in comparative to intracranial tumours. Aim and Objectives: The aim of this research is to study incidence, clinical features, classification, histopathological findings, regional and compartmental distribution, with clinicopathological correlation of spinal tumours, to analyse the long term outcome following surgical excision and to methodically review our results and compare them with selected and recognised published series in word literature. Methods and Materials: A prospective analysis of 50 cases of spinal cord tumours treated at the department of neurosurgery, Tertiary Care Hospital, Ahmadabad from April 2013 to January 2016. Detailed scrutiny and analysis of the patient’s data with respect to the demographic features, clinical findings, investigative procedures, extent of surgical excision, intra and post-operative complications, efficacy of adjuvant therapy, clinicopathological correlation were done. Results and Conclusion: In our study the males are more commonly affected as compared to females. (M:F i.e. 1.2:1 ). However for meningiomas it is reverse. (in our study; F:M, i.e. 7:1). The commonest tumour observed was schwannoma. (26%) and second most common tumour is meningioma (16%). Maximum incidence of spinal cord tumours is in the age group of 20- 40 yrs. Weakness and pain are the common complaints of patients presenting with spinal cord tumours. Motor weakness, sensory loss and reflexes are common preoperative clinical signs elicited. The operative results of spinal cord tumours are excellent in intradural extramedullary and extradural (except metastatic lesion) with minimal deficit who present early. Whereas they are not so gratifying in intramedullary tumours, who presents late and with severe preoperative neurological deficit, due to vascular insult developed.
Authors and Affiliations
Tushar V. Soni, Surender Singh
Keywords
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- EP ID EP535147
- DOI 10.21276/ijmrp.2018.4.4.042
- Views 77
- Downloads 0
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