INTRADURAL EXTRAMEDULLARY SPINAL CORD TUMOURS- SURGICAL OUTCOME AT MAHATMA GANDHI HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 28
Abstract
BACKGROUND Intradural extramedullary (IDEM) type accounts for about two thirds of all intraspinal tumours. IDEM are mostly benign and comprise of either meningiomas or peripheral nerve sheath tumours (schwannomas and neurofibromas). Over the years, there has been improvement in medical field as in diagnosis and surgery. The purpose of this study was to determine the effects of surgery in patients with Intradural Extramedullary spinal cord tumours (IDEM). METHODS 26 patients with IDEM were operated and analysed at one month and 6 months mean follow up. The patients under study reported to the OPD during 2016 to 2018. Not only the outcome was scored but also patient’s demographic data, the tumours subtypes and location were also considered. RESULTS Among the 26 cases, 11 were men and 15 were women. The mean age was 50.64 years and age range was 23 to 79 years. The symptoms shown by them were mostly of radiculopathy and myelopathy (82%). CONCLUSIONS Intradural extramedullary tumours are mostly benign in nature, radiologically detected easily by MRI and excellent results can be obtained with active surgery thus decreasing the morbidity. As per Frankel grading system, nearly 80% showed excellent results while others showed good and fair response.
Authors and Affiliations
Aman Agarwal, Rohin Bhatia
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