Treatment of multisegmental intramedullary cervical spinal cord ependymomas.
- Author:
Yu-ming YANG
1
;
Hong-zhi JIANG
;
Cheng SHA
;
Qing-guo YUAN
;
Chang-chun WANG
;
Hong-wen XIE
;
Kun ZHOU
;
Da-ming WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Cervical Vertebrae; Ependymoma; surgery; Female; Follow-Up Studies; Humans; Male; Microsurgery; methods; Middle Aged; Neurosurgical Procedures; methods; Retrospective Studies; Spinal Cord Neoplasms; surgery; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(10):705-707
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the possibility of microneurosurgery techniques in the treatment of multisegmental intramedullary cervical spinal cord ependymomas.
METHODSThe clinical data of 26 cases of multisegmental intramedullary cervical spinal cord ependymomas patients was reviewed and analyzed.
RESULTSThere were 14 cases of cervical spinal cord ependymomas, 12 cases of cervical and thoracic spinal cord ependymomas. 4.5 spinal cord segments were involved in average. Incompletely inferior paraplegia was in 18 cases, incompletely high paraplegia in 8 cases, dyspnea in 6 cases, sphincter dysfunction in 10 cases. MRI detected syringomyelia formation in 24 cases. Vertebral lamina reposition were done in 20 cases. Muscle strength recovered in 21 cases, no change in 4 cases, aggravated in 1 case. All cases had total resection and 1 cases vertebral had instability in MRI.
CONCLUSIONSTotal resection of intramedullary cervical spinal cord ependymomas can be achieved by microneurosurgery. Most of the symptoms can be released after microsurgical treatment. After multisegmental laminotomy, the vertebral plate reposition should be done to ensure the stability.
