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Long-level Intramedullary Spinal Cord Tumor: A Case Series
Namrata Khadka1, Anil Suryabanshi2, Apurva Shrestha1
1Department of Neurosurgery, National Neurosurgical Referral Center, National Academy of Medical Sciences Bir Hospital, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|July 14, 2025
Summary
Long-level intramedullary spinal cord tumors are rare but challenging. Aggressive surgical resection and advanced techniques are key to improving patient prognosis and neurological outcomes.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Spinal cord tumors, while uncommon, present significant challenges including neurological disability and mortality.
- Long-level intramedullary spinal cord tumors represent a particularly complex clinical scenario requiring specialized management.
Observation:
- Contrast-enhanced Magnetic Resonance Imaging (MRI) is crucial for diagnosis and surgical planning.
- Aggressive surgical resection is recommended to improve prognosis, necessitating careful preservation of neurological function.
Findings:
- Three cases of long-level intramedullary tumors are presented.
- Details on clinical presentations, radiological findings, and histopathological results are provided.
Implications:
- Tailored management strategies are significant for optimizing outcomes in these challenging cases.
- Advancements in spinal surgery and intraoperative monitoring offer improved patient outcomes.

