Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series
Extramedullary intradural spinal tumors are rare. Less than 15% of all central nervous system (CNS) tumors are spinal. Ninety percent of these patients are older than 20 years. Most of spinal tumors are extradural (50-55%) whereas 40-45% are intradural. Furthermore, 5% are intramedullary and 40% are...
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Format: | Article |
Language: | English |
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Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
2009-10-01
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Series: | Biomolecules & Biomedicine |
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Online Access: | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2755 |
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author | Kenan Arnautovic Aska Arnautovic |
author_facet | Kenan Arnautovic Aska Arnautovic |
author_sort | Kenan Arnautovic |
collection | DOAJ |
description | Extramedullary intradural spinal tumors are rare. Less than 15% of all central nervous system (CNS) tumors are spinal. Ninety percent of these patients are older than 20 years. Most of spinal tumors are extradural (50-55%) whereas 40-45% are intradural. Furthermore, 5% are intramedullary and 40% are extramedullary. Most common are Schwannomas (29%), followed by meningiomas (25%) and gliomas (22%).
These tumors produce pain syndroms, a variety of neurological symptoms- motor, sensory, sphincter or a combination of thereof. All spinal levels may be involved. The diagnostics includes magnetic resonance imaging (MRI) including contrast enhancement, computerizing tomography (CT) scanning (bone windows with reconstruction) and possibly CT myelograms. Preferred treatment is the microsurgical radical resection. Perioperative mortality is very low as is serious morbidity.
We herein discuss various aspects of presenting symptomatology, diagnostics, preoperative planning and tactics, surgical treatment and complications. In addition, we include our own retrospective experience with 14 patients treated over the 5.5 years time interval.
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first_indexed | 2024-04-24T23:31:45Z |
format | Article |
id | doaj.art-b4bf5375fd9a460c9ed0c28e1618e42c |
institution | Directory Open Access Journal |
issn | 2831-0896 2831-090X |
language | English |
last_indexed | 2024-04-24T23:31:45Z |
publishDate | 2009-10-01 |
publisher | Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina |
record_format | Article |
series | Biomolecules & Biomedicine |
spelling | doaj.art-b4bf5375fd9a460c9ed0c28e1618e42c2024-03-15T14:37:12ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2009-10-019110.17305/bjbms.2009.2755463Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a SeriesKenan Arnautovic0Aska Arnautovic1Semmes-Murphey Clinic and Department of Neurosurgery, University of TennesseeSemmes-Murphey Clinic and Department of Neurosurgery, University of TennesseeExtramedullary intradural spinal tumors are rare. Less than 15% of all central nervous system (CNS) tumors are spinal. Ninety percent of these patients are older than 20 years. Most of spinal tumors are extradural (50-55%) whereas 40-45% are intradural. Furthermore, 5% are intramedullary and 40% are extramedullary. Most common are Schwannomas (29%), followed by meningiomas (25%) and gliomas (22%). These tumors produce pain syndroms, a variety of neurological symptoms- motor, sensory, sphincter or a combination of thereof. All spinal levels may be involved. The diagnostics includes magnetic resonance imaging (MRI) including contrast enhancement, computerizing tomography (CT) scanning (bone windows with reconstruction) and possibly CT myelograms. Preferred treatment is the microsurgical radical resection. Perioperative mortality is very low as is serious morbidity. We herein discuss various aspects of presenting symptomatology, diagnostics, preoperative planning and tactics, surgical treatment and complications. In addition, we include our own retrospective experience with 14 patients treated over the 5.5 years time interval. https://www.bjbms.org/ojs/index.php/bjbms/article/view/2755spinespinal cordtumorsintraduralextramedullarymeningiomas |
spellingShingle | Kenan Arnautovic Aska Arnautovic Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series Biomolecules & Biomedicine spine spinal cord tumors intradural extramedullary meningiomas |
title | Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series |
title_full | Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series |
title_fullStr | Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series |
title_full_unstemmed | Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series |
title_short | Extramedullary Intradural Spinal Tumors: a Review of Modern Diagnostic and Treatment Options and a Report of a Series |
title_sort | extramedullary intradural spinal tumors a review of modern diagnostic and treatment options and a report of a series |
topic | spine spinal cord tumors intradural extramedullary meningiomas |
url | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2755 |
work_keys_str_mv | AT kenanarnautovic extramedullaryintraduralspinaltumorsareviewofmoderndiagnosticandtreatmentoptionsandareportofaseries AT askaarnautovic extramedullaryintraduralspinaltumorsareviewofmoderndiagnosticandtreatmentoptionsandareportofaseries |