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Intradural extramedullary tumors in adults
P C McCormick1, K D Post, B M Stein
1Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, New York, New York.
Neurosurgery Clinics of North America
|July 1, 1990
Summary
This review covers common adult intradural extramedullary tumors, including meningioma, nerve sheath tumors, and filum terminale ependymoma. It details their demographics, imaging, and surgical removal, including tumors with extraspinal extension.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Intradural extramedullary tumors are a significant group of spinal neoplasms.
- Meningioma, nerve sheath tumors, and filum terminale ependymoma constitute the vast majority of these adult tumors.
Purpose of the Study:
- To review the demographics, radiological evaluation, and surgical techniques for primary intradural extramedullary tumors in adults.
- To discuss the management of intraspinal tumors with extraspinal extension.
Main Methods:
- Literature review of demographics, imaging, and surgical approaches.
- Discussion of a specific surgical strategy for tumors with extraspinal extension.
Main Results:
- Meningioma, nerve sheath tumors, and filum terminale ependymoma are the most prevalent types.
- The article outlines current diagnostic and therapeutic standards.
Conclusions:
- Effective surgical management of these tumors requires understanding their specific characteristics.
- A tailored approach is essential for intraspinal tumors with extraspinal extension to optimize patient outcomes.