Application of intraoperative ultrasound and neuromonitoring in microsurgical treatment of intramedullary tumor in the superior cervical spinal cord
10.3760/cma.j.issn.1001-2036.2019.03.010
- VernacularTitle:术中超声联合神经电生理监测辅助高位颈段脊髓髓内肿瘤显微手术治疗
- Author:
Kai ZHAO
1
;
Suojun ZHANG
;
Chao GUO
;
Anyu TAO
;
Huaqiu ZHANG
;
Hongquan NIU
;
Kai SHU
;
Ting LEI
Author Information
1. 华中科技大学同济医学院附属同济医院神经外科
- Keywords:
Intramedullary tumor;
Cervical spinal cord;
Microsurgical operation;
Ultrasohic technique;
Neurophysiological monitoring
- From:
Chinese Journal of Microsurgery
2019;42(3):250-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of clinical application of ultrasound in microsurgical treatment of intramedullary tumors in the superior cervical spinal cord.Methods Retrospective study the clinical data of 15 patients with intramedullary tumors in the superior cervical spinal cord,which were underwent a laminectomy for microsurgical tumor resection during January,2014 and January,2018.Intraoperative ultrasound and neuromonitoring was accompanied by the whole surgical procedure for each case.The follow-up data was collected by outpatient department visits and telephone interviews.Results All the described patients were performed with microscopic tumor resection by using intraoperative neurophysiological monitoring and ultrasound.The pathological diagnosis was ependymocytoma (n=8) and astrocytoma (n=7).Gross total resections comprised 86.7％ of cases (n=13),and subtotal resections 13.3％ (n=2).The neurological outcome was as follows:Mc-Cormick scale grade Ⅰ,10 patients;grade Ⅱ,3 patients;grade Ⅲ,1 patient;and grade Ⅳ 1 patient;Follow-up was applied for (19.2±7.6) months in 13 cases and 12.0 months in 2 cases.Compared to the preoperative period,66.6％ of patients recovered postoperatively,20.0％ improved,6.7％ remained without deficit and deterioration persisted in 6.7％.Conclusion The microscopic resection of tumors is the effective way to cure this disease.By using intraoperative neurophysiological monitoring and ultrasound,the complete tumor resection and the minimal spinal cord injury were certainly achieved.
