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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Main Authors: Kenan Arnautovic, Aska Arnautovic
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2009-10-01
Series:Biomolecules & Biomedicine
Subjects:
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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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
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