E-ISSN 2534-9821
 

Original Article 


An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms

Prakasan Kannoth, Vijayan Peettakkandy, Shanavas Cholakkal, Vineeth Kadangot Kuthampulli, Shinas Hussain.

Abstract
Background: Spinal cord neoplasms constitute one of the major aspects of neurosurgical practice. Of the different types based on location, intradural extramedullary neoplasms are the commonest. Most are benign, including nerve sheath tumours and meningiomas.
Methods: A series of 41 cases of intradural extramedullary spinal tumours located at different levels, surgically excised at our centre over a period of 2 years from 2018 are evaluated. Demographic distribution, clinical presentations, radiological aspects, pathological classifications and postoperative clinical status of the patients are being analysed along with the correlation of functional outcome with histopathology.
Results: Age and sex distribution of IDEM tumours were such that there was an almost equal number of males and females, while most belonged to the group of 20-50 years. Lesions were common at the dorsal level followed by the lumbar region. Cervicothoracic junction tumours were rare. Benign nerve sheath tumours viz. schwannoma and neurofibroma were the commonest types followed by meningioma and myxopapillary ependymoma. The mean symptom duration till radiological diagnosis is 8 months. Commonly seen symptoms are backache, limb weakness and radicular pain. Sphincter disturbances were less common.
According to modified Frankel grading, the majority of the patients belonged to grades D and E both preoperatively and after surgery. On a visual analogue scale for pain, mean values dramatically decreased over a period of 1 year after surgery.
Complications were relatively rare. Mild worsening of neurological functional status was noted in 5 patients. No instances of surgical site infection were noted.
Neurological worsening was seen only in cases of anteriorly located meningiomas and malignant peripheral nerve sheath tumours.

Key words: Intradural extramedullary spinal neoplasm, Laminectomy, Neurofibroma, meningioma


 
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How to Cite this Article
Pubmed Style

Kannoth P, Peettakkandy V, Cholakkal S, Kuthampulli VK, Hussain S. An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. Int J Med Rev Case Rep. 2022; 6(5): 48-52. doi:10.5455/IJMRCR.172-1641999775


Web Style

Kannoth P, Peettakkandy V, Cholakkal S, Kuthampulli VK, Hussain S. An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. https://www.mdpub.net/?mno=3055 [Access: September 12, 2022]. doi:10.5455/IJMRCR.172-1641999775


AMA (American Medical Association) Style

Kannoth P, Peettakkandy V, Cholakkal S, Kuthampulli VK, Hussain S. An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. Int J Med Rev Case Rep. 2022; 6(5): 48-52. doi:10.5455/IJMRCR.172-1641999775



Vancouver/ICMJE Style

Kannoth P, Peettakkandy V, Cholakkal S, Kuthampulli VK, Hussain S. An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. Int J Med Rev Case Rep. (2022), [cited September 12, 2022]; 6(5): 48-52. doi:10.5455/IJMRCR.172-1641999775



Harvard Style

Kannoth, P., Peettakkandy, . V., Cholakkal, . S., Kuthampulli, . V. K. & Hussain, . S. (2022) An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. Int J Med Rev Case Rep, 6 (5), 48-52. doi:10.5455/IJMRCR.172-1641999775



Turabian Style

Kannoth, Prakasan, Vijayan Peettakkandy, Shanavas Cholakkal, Vineeth Kadangot Kuthampulli, and Shinas Hussain. 2022. An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. International Journal of Medical Reviews and Case Reports, 6 (5), 48-52. doi:10.5455/IJMRCR.172-1641999775



Chicago Style

Kannoth, Prakasan, Vijayan Peettakkandy, Shanavas Cholakkal, Vineeth Kadangot Kuthampulli, and Shinas Hussain. "An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms." International Journal of Medical Reviews and Case Reports 6 (2022), 48-52. doi:10.5455/IJMRCR.172-1641999775



MLA (The Modern Language Association) Style

Kannoth, Prakasan, Vijayan Peettakkandy, Shanavas Cholakkal, Vineeth Kadangot Kuthampulli, and Shinas Hussain. "An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms." International Journal of Medical Reviews and Case Reports 6.5 (2022), 48-52. Print. doi:10.5455/IJMRCR.172-1641999775



APA (American Psychological Association) Style

Kannoth, P., Peettakkandy, . V., Cholakkal, . S., Kuthampulli, . V. K. & Hussain, . S. (2022) An analytical study on the surgical outcome of intradural extramedullary spinal neoplasms. International Journal of Medical Reviews and Case Reports, 6 (5), 48-52. doi:10.5455/IJMRCR.172-1641999775