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Approaches to paraspinal tumours - a technical note.

Arjun Dhar¹, Sumeet Pawar¹, Apurva Prasad¹

¹a Lilavati Hospital and Research Centre , Mumbai , India.

Neurological Research

|March 25, 2017

Summary

This summary is machine-generated.

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Paraspinal neurogenic tumors vary by age and type. While often benign in adults, pediatric tumors can be malignant. Surgical approach is key for successful outcomes, though specific guidelines are lacking.

Area of Science:

Neurosurgery
Oncology

Background:

Neurogenic tumors in the paraspinal space affect all age groups, being common in adults and rare in the elderly.
Adult tumors often originate from the peripheral nerve sheath (schwannomas) and are typically benign.
Pediatric neurogenic tumors, especially those from the autonomic system, have a higher tendency towards malignancy.

Observation:

Tumor size, histology, and spinal canal involvement are critical factors in determining the surgical approach.
Successful total excision is achievable for many benign paraspinal neurogenic tumors with an appropriate surgical strategy.
Spinal integrity may necessitate additional stabilization procedures if compromised by the tumor.

Findings:

A series of five patients (four adults, one 3-year-old female child) with paraspinal neurogenic tumors were managed over 10 years.

Keywords:

Neurogenic tumours dumbell tumor intervertebral foramen paraspinal schwannoma

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Four patients underwent successful surgical excision.

One patient is awaiting surgical intervention.

Implications:

The study highlights the need for tailored surgical approaches based on individual tumor characteristics.
Lack of established guidelines for surgical approach selection in paraspinal neurogenic tumors presents a clinical challenge.
Further research and guideline development are warranted to optimize surgical management and patient outcomes.