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Sajko, Tomislav; Sesar, Nikolina; Rotim, Krešimir
Journal of Neurological Surgery Part A: Central European Neurosurgery, 10/2015Conference Proceeding
Introduction Spinal intradural tumors are rare, with a reported incidence of 3 to 10 per 100,000 people. They frequently cause pain, followed by neurological deficits and sphincter dysfunctions. In selected cases, surgery is a method of choice with favorable results on clinical symptoms and overall quality of life. Aim The aim of this study is to systematically evaluate the effects of surgery on symptoms of patients operated on for intradural spinal tumors in a single institution. Materials and Methods A retrospective analysis of the intradural spinal tumors surgeries on 28 patients from 2012 to 2014 was performed. The analysis was conducted on clinical records evaluation immediately prior to and one year after surgery. Pain was evaluated using visual analogue scale, and neurological deficits evaluation was categorized as no deficit, sensory deficit, motor deficit, sensory-motor deficit, or sphincter deficit. Results Postoperatively, 21 (75%) patients had no neurological deficits. Of the remaining seven (25%) patients, six (21%) had sensory deficit and one (3%) had motor deficit. None of the operated patients had postoperative sphincter dysfunction. Three (10%) patients had complications: two (7%) patients had liquorrhea and one (3%) pneumonia related to hospital stay. Average hospital stay was 9 days. Conclusion We showed that surgery for intradural spinal tumors has a significant effect on pain and neurological deficits regardless of histological type of the lesion or patient age. Slightly worse outcome was found in cervical spine lesions compared with other locations, but this could be due to worse initial clinical condition presurgically. The quality of life is highly influenced by pain and neurological outcome. Keywords spinal intradural tumors; neurological deficit; quality of life
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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