Adult intramedullary spinal cord ependymomas: the result of surgery in 38 patients

Thirty-eight patients underwent surgery for an intramedullary spinal cord ependymoma. In 37 patients, postoperative magnetic resonance imaging confirmed that the tumor was totally removed. The morbidity of surgery was directly related to the preoperative neurological condition. Patients who were nor...

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Bibliographic Details
Published inJournal of neurosurgery Vol. 79; no. 2; p. 204
Main Authors Epstein, F J, Farmer, J P, Freed, D
Format Journal Article
LanguageEnglish
Published United States 01.08.1993
Subjects
Adult
Aged
Ependymoma - diagnosis
Ependymoma - surgery
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Neurosurgery - methods
Spinal Cord - diagnostic imaging
Spinal Cord - pathology
Spinal Cord - surgery
Spinal Cord Neoplasms - diagnosis
Spinal Cord Neoplasms - surgery
Treatment Outcome
Ultrasonography
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Summary:Thirty-eight patients underwent surgery for an intramedullary spinal cord ependymoma. In 37 patients, postoperative magnetic resonance imaging confirmed that the tumor was totally removed. The morbidity of surgery was directly related to the preoperative neurological condition. Patients who were normal or nearly normal preoperatively were rarely worse after surgery, and those who had significant disability preoperatively were at greatest risk of being more impaired after surgery. There has been no tumor recurrence in any patient after a mean follow-up period of 24 months, and radiation therapy has not been employed as a surgical adjunct.
ISSN:0022-3085
DOI:10.3171/jns.1993.79.2.0204