CLINICOPATHOLOGICAL STUDY OF INTRADURAL EXTRA MEDULLARY SPINAL TUMORS AND THEIR FUNCTIONAL OUTCOME

Dr. Padam Chand; Dr.Aditya Shrivastava

Volume : VII, Issue : III, March - 2018

CLINICOPATHOLOGICAL STUDY OF INTRADURAL EXTRA MEDULLARY SPINAL TUMORS AND THEIR FUNCTIONAL OUTCOME

Dr. Padam Chand, Dr. Aditya Shrivastava

Abstract :

AIM: Aim of our study to assess the clinical features of INTRADURAL EXTRA MEDULLARY (IDEM) SPINAL TUMORS. OBJECTIVE: To access the functional outcome of postoperative patients and access the prevalence of various pathological variant of IDEM SPINAL TUMORS. MATERIAL AND METHOD :in this study 50 diagnosed patients of IDEM tumor of any age group irrespective of sex and presented with progressive neurological deficit in form of weakness, sensory abnormality, autonomic abnormalities. These patients were investigated with MRI scan of the spine and if the cause of neurological deficit was found to be intradural extramedullary spinal tumor on MRI scan for which and surgical excision has planned are included in the study. And study the signs and symptoms, radiological features, treatment modilities , patients outcome and Histopathological diagnosis. RESULT: Analysis revealed that IDEM present mostly in middle age group ( (20-49 yr)and more common in females(66%). The mean duration of symptoms of the patients was 21.85�21.53 months with range 1-72 months. Pain was the most common presentation and in most patient course of pain was progressive 64% and in 36% it was stationary. This pain in IDEM tumors increases in lying down position in 76 % of patients. Most patients were having severe pain at presentation (30%). schwannoma was the most common tumor and then meningioma was the second most common tumor among the pathologies. There was no significant relationship of outcome after surgery of different histopathologies, all patients improved regardless of histopathological type .CONCLUSION:So this conclusion can be made that patients preoperative functional status may depends on the duration of symptoms and site of tumor, but all patient of IDEM improves after surgery. So all patients should be offered surgical option regardless of functional status.