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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2022; 11(01): 061-066
DOI: 10.1055/s-0041-1730129
Original Article

Spinal Cord Tumors—Our 5-Year Experience

Manpreet S. Banga
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
,
B.V. Sandeep
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
,
Anantha Kishan
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
,
M.A. Arun
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
,
Arjun H. Dev
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
,
Rajesh B. Devabhakthuni
1   Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
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Abstract

Purpose To study the demography, incidence, symptoms, histopathology, postoperative complications and recovery in operated patients of spinal tumor.

Overview of Literature Primary spinal cord tumors (SCT) are an uncommon entity. According to their location, spinal tumors are conveniently classified as extradural (ED) and intradural (ID), although some can be both inside and outside the dura. ID tumors can be intradural extramedullary (IDEM) or intramedullary SCT (IMSCT).

Methods This is a retrospective study of 122 patients with spinal tumors who were surgically treated at the department of neurosurgery from 2014 to 2019 over a period of 5 years.

Study Design This is a retrospective study.

Results Out of 122 patients, there were 19 patients with ED tumor, 73 had IDEM, and 30 had IMSCT. As many as 73 patients were males and the rest of the 49 patients were females. Mean age at time of surgery was 40.79 years. The thoracic region of spinal canal was most frequently involved (64; 52.4%). The common clinical symptom was motor weakness (90 cases; 73.77%). Majority of the patients had symptoms for duration of 6 to 12 months. Schwannomas were the most common tumor among IDEM and extradural location. Ependymomas were the most common type in IMSCT. We observed significant improvement in most of our cases. Four patients deteriorated at 3 months follow- up.

Conclusions There was a higher male:female ratio for all spinal cord tumors except meningiomas. There was also a higher proportion of nerve sheath tumors, and a lower proportion of meningiomas and neuroepithelial tumors. These results are similar to other studies from Asian countries.

Keywords

spinal cord tumor - intra dural extra medullary - extradural - intra medullary - schwannoma


Publication History

Article published online:
13 January 2022

© 2022. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Grimm S, Chamberlain MC. Adult primary spinal cord tumors. Expert Rev Neurother 2009; 9 (10) 1487-1495
    CrossrefPubMedGoogle Scholar
  • 2 Spurling RG, Mayfield FH. Neoplasms of the spinal cord-A review of forty-two surgical cases. JAMA 1936; 107: 924-929
    CrossrefPubMedGoogle Scholar
  • 3 Ramamurthi R, Rao SM. Clinical features and diagnosis. In: Ramamurthy B, Tandon PN. eds. Textbook of Neurosurgery. 3rd ed.. New Delhi: Jaypee Medical Publishers; 2012: 1181
    Google Scholar
  • 4 Williams R, Foote M, Deverall H. Strategy in the surgical treatment of primary spinal tumors. Global Spine J 2012; 2 (04) 249-266
    CrossrefPubMedGoogle Scholar
  • 5 Segal D, Lidar Z, Corn A, Constantini S. Delay in diagnosis of primary intradural spinal cord tumors. Surg Neurol Int 2012; 3: 52
    CrossrefPubMedGoogle Scholar
  • 6 Chamberlain MC, Tredway TL. Adult primary intradural spinal cord tumors: a review. Curr Neurol Neurosci Rep 2011; 11 (03) 320-328
    CrossrefPubMedGoogle Scholar
  • 7 Wen-qing H, Shi-ju Z, Qing-sheng T. et al. Statistical analysis of central nervous system tumors in China. J Neurosurg 1982; 56 (04) 555-564
    CrossrefPubMedGoogle Scholar
  • 8 Hirano K, Imagama S, Sato K. et al. Primary spinal cord tumors: review of 678 surgically treated patients in Japan. A multicenter study. Eur Spine J 2012; 21 (10) 2019-2026
    CrossrefPubMedGoogle Scholar
  • 9 Dikondwar AR, Dani AA. Spinal space occupying lesions - Pathologic spectrum. J Med Sci Health 2016; 2 (01) 24-29
    PubMedGoogle Scholar
  • 10 Arora RK, Kumar R. Spinal tumors: trends from Northern India. Asian J Neurosurg 2015; 10 (04) 291-297
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Bansal S, Ailawadhi P, Suri A. et al. Ten years’ experience in the management of spinal intramedullary tumors in a single institution. J Clin Neurosci 2013; 20 (02) 292-298
    CrossrefPubMedGoogle Scholar
  • 12 Campello C, Le Floch A, Parker F. Neuroepithelial intramedullary spinal cord tumors in adults: study of 70 cases. Paper presented at American Academy of Neurology Annual Meeting, Seattle, WA; 2009
    PubMed
  • 13 Abul-Kasim K, Thurnher MM, McKeever P, Sundgren PC. Intradural spinal tumors: current classification and MRI features. Neuroradiology 2008; 50 (04) 301-314
    CrossrefPubMedGoogle Scholar
  • 14 Engelhard HH, Villano JL, Porter KR. et al. Clinical presentation, histology, and treatment in 430 patients with primary tumors of the spinal cord, spinal meninges, or cauda equina. J Neurosurg Spine 2010; 13 (01) 67-77
    CrossrefPubMedGoogle Scholar
  • 15 Klekamp J, Samii M. Surgery of Spinal Tumors. Heidelberg: Springer; 2006
    Google Scholar
  • 16 Schellinger KA, Propp JM, Villano JL, McCarthy BJ. Descriptive epidemiology of primary spinal cord tumors. J Neurooncol 2008; 87 (02) 173-179
    CrossrefPubMedGoogle Scholar
  • 17 Samii M, Klekamp J. Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia. Neurosurgery 1994; 35 (05) 865-873 discussion 873
    CrossrefPubMedGoogle Scholar
  • 18 Chandy MJ, Babu S. Management of intramedullary spinal cord tumours: review of 68 patients. Neurol India 1999; 47 (03) 224-228
    PubMedGoogle Scholar
  • 19 Cooper PR, Epstein F. Radical resection of intramedullary spinal cord tumors in adults. Recent experience in 29 patients. J Neurosurg 1985; 63 (04) 492-499
    CrossrefPubMedGoogle Scholar
  • 20 Jellema K, Overbeeke JJ, Teepen HL, Visser LH. Time to diagnosis of intraspinal tumors. Eur J Neurol 2005; 12 (08) 621-624
    CrossrefPubMedGoogle Scholar
  • 21 Yamaura I, Yone K, Nakahara S. et al. Mechanism of destructive pathologic changes in the spinal cord under chronic mechanical compression. Spine 2002; 27 (01) 21-26
    CrossrefPubMedGoogle Scholar
  • 22 Ahn DK, Park HS, Choi DJ, Kim KS, Kim TW, Park SY. The surgical treatment for spinal intradural extramedullary tumors. Clin Orthop Surg 2009; 1 (03) 165-172
    CrossrefPubMedGoogle Scholar
  • 23 Sharma M, Sonig A, Ambekar S, Nanda A. Discharge dispositions, complications, and costs of hospitalization in spinal cord tumor surgery: analysis of data from the United States Nationwide Inpatient Sample, 2003-2010. J Neurosurg Spine 2014; 20 (02) 125-141
    CrossrefPubMedGoogle Scholar
  • 24 Cristante L, Herrmann HD. Surgical management of intramedullary spinal cord tumors: functional outcome and sources of morbidity. Neurosurgery 1994; 35 (01) 69-74 discussion 74–76
    CrossrefPubMedGoogle Scholar
  • 25 Brotchi J, Noterman J, Baleriaux D. Surgery of intramedullary spinal cord tumours. Acta Neurochir (Wien) 1992; 116 (02/04) 176-178
    CrossrefPubMedGoogle Scholar