Peacock W J, Lazareff J A
S Afr Med J. 1986 Nov 22;70(11):668-70.
Spinal tumours in children have different features and require different management than in adults; 20 patients under the age of 14 years are reported--the common presenting features were limb weakness, pain and spinal deformity. Eight tumours were extradural and 12 intradural of which 3 were intramedullary. The 6 patients who did not do well postoperatively were found to have a malignant tumour or were completely paraplegic or quadriplegic before surgery. If detected and treated early, results are excellent in many cases, since the tumours are usually benign.
儿童脊柱肿瘤具有不同的特征,其治疗方法也与成人不同;本文报告了20例14岁以下的患者,常见的临床表现为肢体无力、疼痛和脊柱畸形。8例肿瘤位于硬膜外,12例位于硬膜内,其中3例为髓内肿瘤。术后恢复不佳的6例患者被发现患有恶性肿瘤,或在手术前已完全截瘫或四肢瘫。如果早期发现并治疗,由于肿瘤通常为良性,许多病例的治疗效果都非常好。