| Item type |
共通アイテムタイプ / Common item types(1) |
| 公開日 |
2025-10-22 |
| タイトル |
|
|
タイトル |
Postoperative neurological complications in intradural extramedullary tumors: a 10- year experience of a single center |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
intradural extramedullary spinal cord tumors |
| キーワード |
|
|
主題 |
neurological complications |
| キーワード |
|
|
主題 |
artificial dura mater |
| キーワード |
|
|
主題 |
surgical resection |
| キーワード |
|
|
主題 |
meningioma |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Arima, Hideyuki
Hasegawa, Tomohiko
Yamato, Yu
Yoshida, Go
Banno, Tomohiro
Oe, Shin
Mihara, Yuki
Ide, Koichiro
Watanabe, Yuh
Nakai, Keiichi
Kurosu, Kenta
Matsuyama, Yukihiro
|
| 著者情報 |
有馬, 秀幸
長谷川, 智彦
大和, 雄
吉田, 剛
坂野, 友啓
大江, 慎
三原, 唯暉
井出, 浩一郎
渡邉, 悠
中井, 慶一
黒須, 健太
松山, 幸弘
|
| 書誌情報 |
en : Neurochirurgie
巻 69,
号 5,
p. 101476,
発行日 2023-08-17
|
| 出版者 |
|
|
出版者 |
Elsevier |
| 権利 |
|
|
権利情報 |
Copyright 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| 権利 |
|
|
権利情報Resource |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Intradural extramedullary spinal cord tumors (IDEMs) cause neurological symptoms due to compression of the spinal cord and caudal nerves.. The purpose of this study was to investigate the incidence of postoperative neurological complications after surgical resection of IDEM and to identify factors associated with such postoperative neurological complications.
Methods: We retrospectively analyzed 85 patients who underwent tumor resection for IDEM b000000etween 2010 and 2020. We investigated the postoperative worsening of neurological disorders. The patients were divided into two groups: those with and without postoperative neurological complications. Patient demographic characteristics, tumor level, histological type, and surgery-related factors were also compared.
Results: The mean age at the time of surgery was 57.4 years, and histological analysis revealed 45 cases of schwannoma, 34 cases of meningioma, three cases of myxopapillary ependymoma, one case of ependymoma, one case of hemangioblastoma and one case of lipoma. There were five cases (5.8%) of postoperative neurological complications, and four patients improved within 6 months after surgery, and one patient had residual worsening. There were no statistically significant differences in age, sex, tumor location, preoperative modified McCormick Scale grade, histology, tumor occupancy, or whether fixation was performed in the presence or absence of postoperative neurological complications. All four cases of meningioma with postoperative neurological complications had preoperative neuropathy and meningiomas were located in the anterior or lateral thoracic spine.
Conclusions: Neurological complications after surgical resection for IDEM occurred in 5.8% of patients. Meningiomas with postoperative neurological complications located anteriorly or laterally in the thoracic spine. |
| PISSN |
|
|
収録物識別子 |
0028-3770 |
| EISSN |
|
|
収録物識別子 |
1773-0619 |
| PubMed番号 (PMID) |
|
|
|
関連識別子 |
37543192 |
| 出版社DOI |
|
|
|
関連識別子 |
https://doi.org/10.1016/j.neuchi.2023.101476 |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
Neurochirurgie-69-101476.pdf (772 KB)
.png)
