Emel AVCI, Adil ÖZTÜRK, Murat BEREKET, Hamza KARABAĞ

İntradural spinal kord basıları: literatür araştırması ve ilk olgularımız.

Spinal tümörler nadir görülen kitleler olmakla birlikte belirgin morbidite ve mortaliteye neden olan lezyonlardır. Bu tümörlerde lezyonun yeri prognozu belirleyen en önemli faktör olup hastanın yaşı, cinsiyeti ve lezyon saptandığında hastanın genel durumu da önemli faktörlerdendir. Manyetik Rezonans Görüntüleme MRG kitlelerin saptanmasında ve ayırd edici özelliklerinin belirlenmesinde temel rol oynar. Çalışmamızda spinal kitle tanısı almış ilk olgularımızı patolojik tanıları ve MRG incelemeleri ile birlikte literatür ışığı altında taramayı amaçladık

Anahtar Kelimeler:

Spinal Tümör Cerrahi Tedavi Manyetik Rezonans Görüntüleme

Intradural spinal cord compressions: review of the literature and our first experiences

Spinal tumors are uncommon lesions but may cause significant morbidity and mortality. Location is the most important feature, but the clinical presentation, patient’s age and gender are also important. Magnetic resonance imaging plays a central role in the imaging of spinal tumors. We present our first experience with magnetic resonance imaging and review of the literature

Keywords:

Spinal Tumors Surgical Treatment Magnetic Resonance Imaging,

PDF

___

Van Goethem J.W.A, van den Hauwe L.,Özsarlak Ö, et al. Spinal tumors. European Journal of Radiology 2004; 50:159-76.
Albanese V, Platania N. Spinal intradural extramedullary tumors. J Neurosurg SCI 2002;46:18-24.
Lewy WJ, Bay J, Dohn D: Spinal cord meningioma. J Neurosurg 1982;57: 804-12.
Roux FX, Nataf F, Pinaudeau M, et al. Intraspinal meningiomas : review of 54 cases with discussion of poor prognosis factors and modern therapeutic management. Surg Neurol 1996;46: 458-64.
Cohen Gadol AA, Zikel OM, Koch CA et al. Spinal meningiomas in patients younger than 50 years of age: a 21-year experience. J Neurosurg 2003;98:258- 63.
Sze G, Krol G, Zimmerman RD, et al. Intramedullary disease of the spine: diagnosis using gadolinium-DTPA- enhanced MR imaging. Am J Roentgenol 1988; 151:1193-1204.
Goy AMC, Pinto RS, Raghavendra BN, et al. Intramedullary spinal cord tumors: MR imaging, with emphasis on associated cysts. Radiology 1986;161: 381-6.
Gondoh T, Dezawa A, Abe S, et al: A case report of intradural cystic teratoma in the lumbar spine. Kanto Orthop Traumatol 1997;28:90-3.
Slooth JL, Kernohan JN, MacCarty CS. Primary Intramedullary Tumours of the Spinal Cord and Filum Terminale. Philedelphia, WB Saunders, 1964.
Arai Y, Takahashi M, Takeda K, et al. Adult-onset intradural spinal teratoma in the lumbar spina: A case report. Journal of Orthopaedic Surgery 2000; 8:69-74.
Russel DS, Rubinstein LJ. Pathology of Tumours of the Nervous System. Ed 5. Baltimore: Williams and Wilkins, 1989; pp 664-750.
Cybulski GR, VonRoeen KA, Baily OT. Intramedullary cystic teratoma associated with teratoma of the ovary. Surg Neurol 1984;22:267-72.
Rosenbaum TJ, Soule EH, Onofrio BM. Teratomatous cyst of the spinal canal. J Neurosurg 1978;49:292-7.
Post KD, Stein BM. Surgical management of spinal cord tumours and arteriovenous malformations. In Schmidek HH, Sweet WHİ, et al. Operative Neurosurgical Techniques. Indications, Methods and Results, 3rd ed. Philadelphia, WB Saunders, 1995:2027-48.
Nicoletti GF, Passanisi M, Platania N, et al. Intramedullary spinal cystic teratoma of the conus medullaris with caudal exophytic development: case report. Surg Neurol 1994;41:106-11.
Tognetti F, Sanpaola P, Pozzati E, et al. Intramedullary cystic teratoma. Acta Neurochirurg (Wien) 1982; 62:101-8.
Hemabuchi M, Hasegawa R, Murase T. Teratoma of the spinal cord. J Bone Surg (Br) 1989;71-B:390-2.
Urgarte N, Gonzalez-Crusst F, Sorelo Avila C, et al. Diastomatomyelia associated with teratomas. J Neurosurg 1980;53:720-5.
Brotchi J, Dewitte O, Levivier M, et al. A survey of 65 tumors within the spinal cord: surgical results and the importance of preoperative magnetic resonance imaging. Neurosurgery 1991;29:651-7.
Takemoto K, Matsumura Y, Hashimoto H, et al. MR imaging of intraspinal tumors: capability in histological differentiation and compartmentalization of extramedullar tumors. Neuroradiology 1988;30:303- 9.
Lee M, Epstein FJ, Rezai AR, et al. Nonneoplastic intramedullary spinal cord lesions mimicking tumors. Neurosurgery 1998;43:788-95.
Andrews BT, Weinstein PR, Rosenblum ML, et al. Intradural arachnoid cysts of the spinal canal associated with intramedullary cysts. J Neurosurg 1988;68:544-9.
Dillon WP, Norman D, Newton TH, et al. Intradural spinal cord lesions:Gd- DTPA enhanced MR imaging. Radiology 1989;170:229-37.
Froment JC, Baleriaux D, Turjman F, et al. Diagnosis: Neuroradiology. In: Fischer G, Brotchi J, eds. Intramedullary spinal cord tumors. Stuttgart, Germany: Thieme, 1996;33- 52.
Epstein FJ, Farmer JP, Schneider SJ. Intraoperative ultrasonography: an important surgical adjunct for intramedullary tumors. J Neurosurg 1991;74:729-33.
Parizel PM, Baleriaux D, Rodesch G, et al. Gd-DTPA-enhanced MR imaging of spinal tumors. Am J Roentgenol 1989;152:1087-96.
Epstein F, Epstein N. Surgical treatment of spinal cord astrocytomas of childhood. J Neurosurg 1982;57: 685-9.
Brotchi J, Fischer G. Treatment. In: Fischer G, Brotchi J, eds. Intramedullary spinal cord tumors. Stuttgart, Germany: Thieme, 1996;60- 84.
Cooper P. Outcome after operative treatment of intramedullary spinal cord tumors in adults: intermediate and long-term results in 51 patients. Neurosurgery 1989;25:855-9.
Epstein FJ, Farmer JP, Freed D. Adult intramedullary astrocytomas of the spinal cord. J Neurosurg 1992;77:355- 9.
Cohen AR, Wisoff JH, Allen JC, et al. Malignant astrocytomas of the spinal cord. J Neurosurg 1989;70:50-4.
Constantini S, Houten J, Miller D et al. Intramedullary spinal cord tumors in children under the age of 3 years. J Neurosurg 1996;85:1036-43.
Ciappetta P, Salvati M, Capoccia G, et al. Spinal glioblastomas: report of seven cases and review of the literature. Neurosurgery 1991;28:302- 6.
Yoshii S, Shimizu K, Ido K, et al. Ependymoma of the spinal cord and the cauda equina region. J Spinal Disord 1999;12:157-61.
Burger PC, Scheithauer BW. Tumors of neuroglia and choroid plexus epithelium. In:Burger PC, Scheithauer BW, eds. Tumors of the central nervous system. Washington, DC: Armed Forces Institute of Pathology, 1994;25-161.
Epstein FJ, Farmer JP, Freed D. Adult intramedullary spinal cord ependymomas: the result of surgery in 38 patients. J Neurosurg 1993;79:204- 9.
Ferrante L, Mastronardi L, Celli P, Lunardi P, et al. Intramedullary spinal cord ependymomas: a study of 45 cases with long-term follow-up. Acta Neurochir 1992;119:74-9.
Hoshimaru M, Koyama T, Hashimoto N, et al. Results of microsurgical treatment for intramedullary spinal cord ependymoma: analysis of 36 cases. Neurosurgery 1999;44:264-9.
Fine MJ, Kricheff II, Freed D, et al. Spinal cord ependymomas: MR imaging features. Radiology 1995;197:655-8.
Kahan H, Sklar EM, Post MJD et al. MR characteristics of histopathologic subtypes of spinal ependymoma. Am J Neuroradiol 1996;17:143-50.
Pennison-Besnier I, Guy G, Gandon Y. Intramedullary epidermoid cyst evaluated by computed tomographic scan and magnetic resonance imaging: case report. Neurosurgery 1989;25:955-9.
Roux A, Mercier C, Larbrisseau A, et al. Intramedullary epidermoid cyst of the spinal cord. J Neurosurg 1992;76:528-33.
Lunardi P, Missori P, Gagliardi FM. Long term results of surgical treatment of spinal dermoids, epidermoids. Neurosurgery 1989;23:860-4.
Boyd HR. Iatrogenic intraspinal epidermoid. Report of case. J Neurosurg 1966;24:105-7.
Baba H, Wada M, Tanaka Y. Intraspinal epidermoid after lumbar puncture. Intern Ortho 1994;18:116-8.
Gardner DJ, O’Gorman AM, Blundell JE. Intraspinal epidermoid tumour:late complication of lumbar puncture. CMA J 1989;141:223-5.
Gupta S, Gupta RK, Gujral RB, et al. Signal intensity patterns in intraspinal dermoids and epidermoids on MR imaging. Clin Radiol 1993;48:405-13.
Visciani A, Savoiardo M, Balestrini MR, et al. Iatrogenic intraspinal epidermoid tumor:myelo-CT and MRI diagnosis. Neuroradiology 1989;31: 273-5.