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Intramedullary spinal cord tumor resection.
Mari L Groves1, Patricia L Zadnik1, Pablo F Recinos1,2
11Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; and.
Neurosurgical Focus
|May 29, 2015
Summary
This case study details the surgical resection of an intramedullary spinal cord tumor (IMSCT) causing gait issues. Gross total resection of low-grade IMSCTs can improve patient survival and progression-free survival.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Oncology
Background:
- A 27-year-old patient presented with progressive spastic gait and walking difficulties over six months.
- Spinal Magnetic Resonance Imaging (MRI) identified a cervical intramedullary spinal cord tumor (IMSCT) with a syrinx.
Purpose of the Study:
- To present a case of IMSCT resection.
- To highlight the surgical technique and outcomes for low-grade IMSCTs.
Main Methods:
- The patient underwent a posterior en bloc laminotomy and durotomy.
- Microscopic resection of the intramedullary tumor component was performed.
- Laminoplasty was utilized for spinal reconstruction.
Main Results:
- Surgical resection aimed for gross total removal.
- The study suggests gross total resection improves survival and progression-free survival for low-grade IMSCTs.
Conclusions:
- Surgical intervention for IMSCTs, particularly when achieving gross total resection, offers significant benefits.
- This case demonstrates a successful surgical approach for cervical IMSCT with associated syrinx.
