Primary Intramedullary Spinal Cord Lymphoma: Case Report.
0
Citation
0
Reference
20
Related Paper
Cite
Cite
Citations (10)
Abstract A rare case of intramedullary lymphoma of the cervicothoracic portion of the spinal cord is recorded. There was rapid destruction of spinal cord function and no form of therapy aided in neurological recovery or survival.
Spinal Cord Diseases
Spinal Cord Neoplasm
Cite
Citations (13)
Cite
Citations (0)
Intramedullary spinal cord tumors (IMSCTs) are rare central nervous system lesions with heterogeneous patient presentations that often include pain and neurological dysfunction. In adults, ependymomas are the most common IMSCT, and in children, pilocytic astrocytomas are most frequent. The mainstay of treatment for IMSCTs is maximal safe surgical resection. Careful surgical planning and technique are critical for successful outcomes. This includes the choice of appropriate spinal levels for surgery, interpretation of real-time intraoperative neurophysiological monitoring, maintenance of meticulous hemostasis, careful microsurgical dissection, and watertight dural closure. Close attention to intraoperative neuromonitoring can allow for maximal tumor resection without permanent postoperative deficits in experienced hands. Transient postoperative deficits often improve with time. Aggressive resection often leads to excellent outcomes and should be attempted regardless of patient age.
Intraoperative neurophysiological monitoring
Pilocytic astrocytoma
Cite
Citations (0)
Questions or comments regarding this article may be directed to the author at: 708 W. Bittersweet, Apt. 912, Chicago, Illinois 60613.
Cite
Citations (1)
Cite
Citations (0)
Cite
Citations (1)
Spinal Cord Diseases
Cite
Citations (0)
Cite
Citations (0)
Dysesthesia
Cite
Citations (0)