Figure 1: Sagittal illustration of the area excised during surgery
No |
Sex |
Age |
Magneticresonancefindings |
Neurologicalexaminat ion |
Level of pathology |
Histopathologicaldi agnosis |
1 |
F |
59 |
Intramedullary, |
Rightfoot, |
T9-T10-T11- T12 |
Lowgradeastrocytom a |
2 |
M |
56 |
Intradural, extramedullary contrastenhancinglesion |
Right plantarflexion: 4/5 Babinskiextensor |
T11-T12-L1 |
Myxopapillaryepend ymoma (WHO Grade I) |
3 |
F |
18 |
A 5X3 cm lesion at |
Bilateralhypoesthesiaa ndloss |
T4-T5-T6 |
Small roundbluecelltumor |
4 |
M |
46 |
A 25X12 mm |
Bilaterallowerextremiti es, |
T4 |
Fibrousmeningioma |
5 |
M |
42 |
Intradural, extra |
Bilateral motor power at lowerextremities: 2/5 |
T4-T5 |
Meningioma (Grade 1) |
6 |
M |
42 |
Intradural, extramedullary |
Radicularpain at |
T12 |
Myxoidschwannoma |
7 |
F |
63 |
Intradural, extra |
Neurogenicclaudicatio n |
T7 |
Meningioma (WHO Grade 1) |
8 |
F |
39 |
Extradurallesionordisc |
Bilateral motor power at lowerextremities: 3- 4/5 |
T10-11 |
Hyalinized, ischemicchondroidtis suefragments |
9 |
F |
41 |
A lesion of 18X13 mm |
Constipationandurinary retention |
L1-2 |
Maturecysticteratoma |
10 |
M |
37 |
Intradural,extra medullary |
Bilateral motor power at lowerextremities: 3- |
L1-2 |
Maturecysticteratoma |
|
|
|
nt |
4/5 |
|
|
11 |
F |
63 |
Intradural, intramedullary |
Right footdorsiflexion: 2/5 |
T10-T11 |
Lowgradeastrocytom a |
12 |
M |
29 |
Sixextramedullarylesions |
Bilateral motor power at lowerextremities 2/5, |
T3-T7 |
Meningoteliomatous meningioma (WHO Grade 1) |
13 |
F |
58 |
Intraaxiallesion |
Radicularpain, anthalgicgait |
T2-T3 |
Ependymoma (WHO Grade II) |
14 |
F |
43 |
Intradural, extramedullary |
Hypoesthesia at |
L3-L4 |
Myxopapillaryepend ymoma |
15 |
M |
69 |
A |
Bilateral motor power at lowerextremities : 3/5 |
L2 |
B- |
16 |
M |
42 |
Intraaxiallesion in |
Bilateral motor power at lowerextremities: 1/5 |
T3-T4 |
Ependymoma (WHO Grade II) |
17 |
F |
23 |
A lesion of 27x24x19 mm |
Bilateral motor power at lowerextremities: 2/5 |
T2-T3 |
Meningotheliomatous |
|
|
|
vertebrawithcontra |
|
|
gioma (WHO Grade 1) |
18 |
F |
19 |
Intramedullarycysticlesion |
Bilateral motor power at lowerextremities: 3/5 |
L1-L2 |
Neuroentericcyst |
19 |
M |
40 |
Intramedullarylesion of a |
No motor deficit |
L1-L2 |
Myxopapillaryepend ymoma (WHO Grade 1) |
20 |
M |
45 |
Intramedullarylesion of |
Constipation, urinaryretention, leftdorsiflexion: 4/5 |
L2 |
Benignepithelialcyst |
21 |
F |
72 |
A lesion of 10x8 |
Leftlowerextremity motor poweranddorsiflexion: 0/5 |
L2 |
Schwannoma |
22 |
M |
45 |
Intradural, |
Radicularpain at leftlowerextremity |
L2 |
Schwannoma |
23 |
F |
53 |
Intradural, extramedullary |
Radicularpain |
L1 |
Schwannoma |
24 |
M |
69 |
L4-5 An intradurallesion |
Radicularpain |
L4 |
Schwannoma |
25 |
M |
39 |
Intramedullarylesion at |
Motor at |
C2-C3 |
Ependymoma (WHO |
|
|
|
|
bilateralupperandlower limbs: 4/5 |
|
Grade II) |
26 |
F |
44 |
Extradural, |
Bilateral motor power at lowerextremities: 2/5 |
L5 |
Chronicactiveinflam mationwithfoci of microabscesses |
27 |
M |
46 |
Intradural, |
Neckpain |
C2 |
Transitionalmeningio ma (Grade 1) |
28 |
M |
79 |
Cysticlesion of 8 mm in |
Bilateralradicularpain, bilateral motor power at lowerextremities: 3/5 |
T7-T8 |
Hyalinizedfibrocollag enousconnectivetissu ewithfocaldeposition of calcifiedhemosiderin pigment |
29 |
F |
69 |
A lesion of 40X37X35 mm |
Bilateral motor power at lowerextremities: 2/5 |
T9 |
Metastaticcarcinoma |
30 |
M |
11 |
A lesion of 16X10 mm at |
Bilateral motor power at lowerextremities: 2/5 |
T4-T5 |
Metastaticcarcinoma |
31 |
M |
86 |
A lesion of 23X20X16 mm |
Bilateral motor power at lowerextremities: 2/5 |
T2-T3 |
Meningotheliomatous |
32 |
F |
46 |
Intradural, extramedullary |
Paraparesia |
T5-T6-T7 |
Atypicallymphoidpro liferation |
33 |
F |
58 |
Lesion at thelevels |
Bilateral motor power at lowerextremities: 1/5 |
T5-T6-T7 |
Malignantepithelialtu morinfiltration |
34 |
M |
15 |
Intradural, intramedullary |
Motor at bilateral |
C4-C5 |
Ependymoma (WHO Grade II) |
35 |
M |
68 |
Lesion of 18X8 mm |
Motor power at right |
T4-T5 |
Metastaticcarcinoma |
36 |
F |
70 |
Lesioncompressingspinal |
Bilateral motor power at lowerextremities: 2/5 |
T6-T7 |
Monoclonalplasmace llinfiltration |
37 |
F |
70 |
Well-circumscribedintradurallesion |
Radicularpain |
L4 |
Schwannoma |
|
|
|
nhancement. |
|
|
|
38 |
M |
39 |
Intraspinalandposterior |
Radicularpain, urinaryincontinence |
T12-L1 |
Small celllymphoma |
39 |
F |
68 |
Bilobulatedand |
Radicularpain |
T11-T12 |
Schwannoma |
40 |
F |
9 |
Intradural, |
Bilateralradicularpain, bilateral motor power at lowerextremities: 3/5 |
L1-L2 |
Schwannoma |
41 |
M |
67 |
Lesionextendingtoribson |
Bilateral motor power at lowerextremities: 3/5 |
T4-T5-T6- T7 |
Metastaticcarcinoma |
Table 1: Overview of descriptive, radiologic, clinicalandhistopathological data in ourseries (n=41)
(Abbreviations: F: female; M: male; WHO: World HealthOrganization; C: cervicalvertebrae; T: thoracicvertebrae; L: lumbarvertebrae)
Figure 1: Sagittal illustration of the area excised during surgery
Figure 2: Axial illustration of the area excised during surgery
Figure 3: Intraoperative views demonstrating our technique for stabilization of the spinal cord without instrumentation after excision of tumor
Figure 4: Contrast-enhanced sagittal, t2 sagittal and axial MRI images of the patient before surgery
Figure 5: Early postoperative sagittal and axial MRI images of the patient
Figure 6: First-year postoperative sagittal and axial MRI images of the patient
Tables at a glance
Figures at a glance