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VOLUME 4 , ISSUE 1 ( January-March, 2017 ) > List of Articles

CASE REPORT

Silent Spinal Cord Tumor

Arjun Dhar, Apurva Prasad

Citation Information : Dhar A, Prasad A. Silent Spinal Cord Tumor. J Spinal Surg 2017; 4 (1):22-25.

DOI: 10.5005/jp-journals-10039-1120

Published Online: 01-03-2013

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction

Intramedullary spinal cord tumors are rare, representing 4 to 10% of all central nervous system tumors. They account for 20% of all intraspinal tumors in adults and 35% of all intraspinal tumors in children.

Study design

Observational study.

Purpose

Understanding the natural progression of an intramedullary spinal cord tumor.

Materials and methods

To report a case of silent intradural intramedullary spinal cord tumor in a 38-year-old patient, on regular follow-up in the outpatient department since 6 years.

Investigations

Magnetic resonance imaging thoracic spine revealing intramedullary tumor which is localized, central, uniformly enhancing on contrast and is associated with syrinx formation from D1 to D7.

Management

Conservative.

Conclusion

The rare incidence of intradural tumors commonly results in misdiagnosis and improper diagnostic workup, resulting in delayed diagnosis and treatment. Dilemma exists in the management of clinically silent intramedullary tumors as no specific guidelines have been formulated.

How to cite this article

Prasad A, Pawar SG, Dhar A, Ramani PS. Silent Spinal Cord Tumor. J Spinal Surg 2017;4(1):22-25.


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  1. Spinal intradural tumours: part II-intramedullary. Br J Neurosurg 1999 Jan;13(6):558-563.
  2. Victor Horsley and spinal surgery. J Spinal Surg 2016;3(2):68-69.
  3. Intramedullary ependymomas: clinical presentation, surgical treatment strategies and prognosis. J Neurooncol 2000 May;47(3):211-218.
  4. Factors associated with progression-free survival and long-term neurological outcome after resection of intramedullary spinal cord tumors: analysis of 101 consecutive cases. J Neurosurg Spine 2009 Nov;11(5):591-599.
  5. Incidence of spinal deformity after resection of intramedullary spinal cord tumors in children who underwent laminectomy compared with laminoplasty. J Neurosurg Pediatr 2008 Jan;1(1):57-62.
  6. Radiographic features of intramedullary spinal cord tumors. Neurosurg Clin N Am 2006 Jan;17(1):13-19.
  7. Spinal cord astrocytomas: presentation, management and outcome. J Neurooncol 2000 May;47(3):219-224.
  8. Malignant astrocytomas of the spinal cord. J Neurosurg 1989 Jan;70(1):50-54.
  9. Intrinsic spinal cord tumor resection. Neurosurgery 2002 May;50(5):1059-1063.
  10. Resection of intramedullary spinal cord tumors in children: assessment of long-term motor and sensory deficits. J Neurosurg Pediatr 2008 Jan;1(1):63-67.
  11. Surgical management of intramedullary spinal cord tumors: functional outcome and sources of morbidity. Neurosurgery 1994 Jul;35(1):69-74; discussion 74-76.
  12. Impact of tumor histology on resectability and neurological outcome in primary intramedullary spinal cord tumors: a single-center experience with 102 patients. Neurosurgery 2015 Mar;76 (Suppl 1):S4-S13.
  13. Conservative surgery and radiotherapy in the treatment of spinal cord astrocytoma. J Neurooncol 1997 Jul;33(3):205-211.
  14. Efficacy of spinal instrumentation and fusion in the prevention of postlaminectomy spinal deformity in children with intramedullary spinal cord tumors. J Pediatr Orthop 2008 Mar;28(2):244-249.
  15. Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia. Neurosurgery 1994 Nov;35(5):865-873.
  16. Treatment of intramedullary tumors: analysis of surgical morbidity and long-term results. J Neurosurg Spine 2013 Jul;19(1):12-26.
  17. Results of microsurgical treatment for intramedullary spinal cord ependymomas: analysis of 36 cases. Neurosurgery 1999 Feb;44(2):264-269.
  18. Motor evoked potential monitoring improves outcome after surgery for intramedullary spinal cord tumors: a historical control study. Neurosurgery 2006 Jun;58(6):1129-1143.
  19. Changes in transcranial motor evoked potentials during intramedullary spinal cord tumor resection correlate with postoperative motor function. Neurosurgery 2005 May;56(5):982-993.
  20. Intraoperative ultrasonography: an important surgical adjunct for intramedullary tumors. J Neurosurg 1991 May;74(5):729-733.
  21. The natural history of conservatively managed symptomatic intramedullary spinal cord cavernomas. Neurosurgery 2007 May;60(5):865-872.
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