Intramedullary Spinal Cord Tumors in the Elderly Patient

Managing intramedullary spinal cord tumors in patients over 65 years of age requires balancing oncological control with preserving function. An individualized assessment centered on frailty, rather than age, is crucial for patient selection and risk stratification. For well-selected elderly patients, surgery can yield good outcomes. Gross total resection is the goal for well-demarcated tumors, while maximal safe debulking is preferred for infiltrative lesions. Diagnostic delays often lead to advanced neurological deficits, complicating recovery. The role of adjuvant therapies remains controversial, necessitating a cautious approach that prioritizes the patient's quality of life.