Intradural extramedullary spinal cord tumors

Czech version

Authors: P. Moják ¹; M. Filip ^2,3; P. Linzer ¹; P. Jurek ¹; M. Mitaľ ¹; A. Švehlák ¹; K. Trenzová ¹
Authors‘ workplace: Neurochirurgické oddělení, Krajská nemocnice T. Bati, a. s., Zlín ¹; Ústav rehabilitace, LF OU, Ostrava ²; Neurochirugická klinika LF UK, SZU a UN Bratislava ³
Published in: Cesk Slov Neurol N 2019; 82(2): 125-140
Category: Minimonography
doi: https://doi.org/10.14735/amcsnn2019125

Overview

Intradural extramedullary spinal cord tumors represent a relatively small group among all of the tumors of the CNS. This article describes the most frequent types of these tumors, their etiology, macroscopic and histologic characteristics, clinical symptoms, diagnosis and treatment. It describes the clinical outcome of several surgery techniques and their effect on the stability of the spine, the radicality of the resection and the consequent neurological condition of the patient. It analyses the importance of pre-operative preparation, planning, the position of the patient during surgery, perioperative medicamentous treatment and the use of instrumentation opportunities. It evaluates its impact on postoperative outcome, the eventual complications and the overall prognosis of the patient. These aspects are particularly pre-evaluated in the most frequent types of intradural extramedullary spinal cord tumors which are nerve sheath tumors and meningeoms. There is also a brief description devoted to less frequent tumors in this article. There are simple and concise recommendations on the diagnostics and therapy of these tumors in the discussion part and the closure, and these recommendations are aimed at the improvement of the treatment effect and minimizing the risk of complications in accordance with available studies.

The authors declare they have no potential confl icts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Keywords:

intradural extramedullary spinal cord tumor – schwannoma – meningeoma – diagnosis – surgical treatment

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