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长节段脊髓髓内肿瘤:病例系列

Long-level Intramedullary Spinal Cord Tumor: A Case Series.

作者信息

Khadka Namrata, Suryabanshi Anil, Shrestha Apurva, Paudel Kumar, Aryal Sameer, Jha Binit, Bhattarai Sushil Mohan, Rajbhandari Binod, Shrestha Rajendra, Jha Rajiv

机构信息

Department of Neurosurgery, National Neurosurgical Referral Center, National Academy of Medical Sciences Bir Hospital, Kathmandu, Nepal.

Tribhuvan University, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2025 Mar;63(283):195-198. doi: 10.31729/jnma.8924. Epub 2025 Mar 31.

Abstract

Spinal cord tumors, though uncommon, pose significant challenges due to their potential for neurological disability and mortality. Intramedullary spinal cord tumors, particularly Long-level intramedullary spinal cord tumors, present challenging clinical scenarios. Contrast-enhanced Magnetic resonance imaging remains pivotal for radiological evaluation and surgical planning. Notably, aggressive resection is advocated to enhance prognosis, with meticulous attention to preserving neurological function. Advancements in spinal surgery techniques, coupled with intraoperative monitoring, offer promising avenues for improved patient outcomes. We presented three cases of long-level intramedullary tumors, emphasizing the significance of tailored management and presented details, including clinical presentations, radiological findings, and histopathological results.

摘要

脊髓肿瘤虽然不常见,但因其可能导致神经功能障碍和死亡,故而带来重大挑战。髓内脊髓肿瘤,尤其是长节段髓内脊髓肿瘤,呈现出具有挑战性的临床情况。增强磁共振成像对于放射学评估和手术规划仍然至关重要。值得注意的是,主张积极切除以改善预后,同时要格外注意保留神经功能。脊柱手术技术的进步,再加上术中监测,为改善患者预后提供了有希望的途径。我们展示了三例长节段髓内肿瘤病例,强调了个性化管理的重要性,并呈现了详细情况,包括临床表现、放射学检查结果和组织病理学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa33/12122265/e89081c97a54/JNMA-63-283-195-g1.jpg

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