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[Intramedullary tumors].

S Clémenceau1, M Lopez

  • 1Service de neurochirurgie Groupe hospitalier La Pitié-La Salpêtrière 75651 Paris. stephane.clemenceau@psl.ap-hop-paris.fr

La Revue Du Praticien
|August 16, 2001
PubMed
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Intramedullary tumors, often benign glial tumors like ependymomas and astrocytomas, require prompt diagnosis and surgical removal. Early intervention is crucial as outcomes correlate with pre-treatment condition, making these central nervous system tumors a medical emergency.

Area of Science:

  • Neurology
  • Neurosurgery
  • Oncology

Context:

  • Intramedullary tumors constitute 2-4% of all central nervous system (CNS) tumors.
  • These tumors typically present with symptoms of slow spinal cord compression.
  • The majority are benign glial tumors, primarily ependymomas and astrocytomas.

Purpose:

  • To review the diagnosis, treatment, and management of intramedullary tumors.
  • To highlight the role of magnetic resonance imaging (MRI) in diagnosis.
  • To discuss the surgical and adjuvant treatment options and long-term follow-up.

Summary:

  • Diagnosis is significantly advanced by MRI, enabling detailed tumor analysis and differentiation from cysts.
  • Surgery is the primary treatment, with total resection often curative for benign tumors.

Related Experiment Videos

  • Radiotherapy following partial resection is controversial due to potential side effects; long-term surveillance is essential for detecting late recurrences.

    • Impact:

    • Emphasizes the critical need for timely diagnosis and surgical intervention in intramedullary tumors.
    • Highlights MRI's pivotal role in improving diagnostic accuracy and surgical planning.
    • Underscores the importance of long-term follow-up due to the potential for late tumor recurrence or progression.