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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282XOn-line version ISSN 1678-4227

Abstract

TARICCO, Mario Augusto; GUIRADO, Vinicius Monteiro de Paula; FONTES, Ricardo Bragança de Vasconcellos  and  PLESE, José Pindaro Pereira. Surgical treatment of primary intramedullary spinal cord tumors in adult patients. Arq. Neuro-Psiquiatr. [online]. 2008, vol.66, n.1, pp.59-63. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X2008000100014.

BACKGROUND: Primary spinal cord intramedullary tumors are rare and present with insidious symptoms. Previous treatment protocols emphasized biopsy and radiation/chemotherapy but more aggressive protocols have emerged. OBJECTIVE: To report our experience. METHOD: Forty-eight patients were diagnosed with primary intramedullary tumors. The cervical cord was involved in 27% and thoracic in 42% of patients. Complete microsurgical removal was attempted whenever possible without added neurological morbidity. RESULTS: Complete resection was obtained in 33 (71%) patients. Neurological function remained stable or improved in 32 patients (66.7%). Ependymoma was the most frequent tumor (66.7%). CONCLUSION: Neurological outcome is superior in patients with subtle findings; aggressive microsurgical resection should be pursued with acceptable neurological outcomes.

Keywords : spinal cord; spastic paraparesis; spinal cord neoplasms; ependymoma; microsurgery.

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