Öz
Objectives: Schwannomas are the most frequently seen primary spinal tumors with a 0.3-0.5/100.000 incidence. For non-syndromic spinal schwannomas, the current treatment modality is a gross total resection with the preservation of neurovascular structures. We aim to show the postoperative neurologic and radiologic findings of our patients with non-syndromic spinal schwannomas. Patients and Methods: This retrospective case series have 82 patients. Patients were followed up on the 45th,180th and 365th days postoperatively. In the light of Karnofsky performance test, patients have been evaluated for pain, sensory and motor deficits. Results: Intra and preoperative complications occured only in 2 patients.Conclusion: Our findings show that total resection of non-syndromic spinal schwannomas is an effective and safe surgical approach
Anahtar Kelimeler
Kaynakça
- 1. Seppala MT, Haltia MJ, Sankila RJ, Jaaskelainen JE, Heiskanen O. Long-term outcome after removal of spinal schwannoma: a clinicopathological study of 187 cases. J Neurosurg 1995; 83:621-6. [CrossRef]
- 2. Jinnai T, Koyama T. Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases. Neurosurgery 2005; 56:510-5.
- 3. Safavi-Abbasi S, Senoglu M, Theodore N, Workman RK, Gharabaghi A, Feiz-Erfan I, et al. Microsurgical management of spinal schwannomas: evaluation of 128 cases. J Neurosurg Spine 2008; 9:40-7. [CrossRef]
- 4. MacCollin M, Chiocca EA, Evans DG, Friedman JM, Horvitz R, Jaramillo D, et al. Diagnostic criteria for schwannomatosis. Neurology 2005; 64:1838-45. [CrossRef]
- 5. Gottfried ON, Binning MJ, Schmidt MH. Surgical approaches to Spinal Schwannomas. Contemporary Neurosurgery 2005; 27:1-9.
- 6. Javalkar VK, Pigott T, Pal P, Findlay G. Multiple schwannomas: report of two cases. Eur Spine J 2007;16: 287-92. [CrossRef]
- 7. Asazuma T, Toyama Y, Maruiwa H, Fujimura Y, Hirabayashi K. Surgical strategy for cervical dumbbell tumors based on a three-dimensional classification. Spine 2004; 29: E10-4. [CrossRef]
- 8. Cury J, Coelho RF, Srougi M. Retroperitoneal schwannoma: case series and literature review. Clinics 2007; 62:359-62.
- 9. Chowdhury FH, Haque MR, Sarker MH. High cervical spinal schwannoma; microneurosurgical management: an experience of 15 cases. Acta Neurol Taiwan 2013; 22:59-66.
- 10. Fernandes RL, Lynch JC, Welling L, Gonçalevs M, Tragante R, Pereira C. Complete removal of the spinal nerve sheath tumors. Surgical technics and results from a series of 30 patients. Arq Neuropsiquiatr 2014; 72:312-7.
- 11. .Iwasaki Y, Hida K, Koyanagi I, Yoshimoto T, Abe H. Anterior approach for dumbbell type cervical neurinoma. Neurol Med Chir 1999;39:835-9.
- 12. Kim P, Ebersold MJ, Onofrio BM, Quast LM. Surgery of spinal nerve schwannoma. Risk of neurological deficit after resection of involved root. J Neurosurg 1989; 71:810-4. [CrossRef]
- 13. Klekamp J, Samii M. Introduction of a score system for the clinical evaluation of patients with spinal processes. Acta Neurochir 1993;123:221-3.
- 14. Parmar H, Patkar D, Gadani S, Shah J. Cystic lumbar nerve sheath tumours: MRI features in five patients. Australas Radiol 2001;45:123-7.
- 15. Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B. Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg 2001; 94:210-5.
- 16. Seppala MT, Haltia MJ. Spinal malignant nerve-sheath tumor or cellular schwannoma? A striking difference in prognosis. J Neurosurg 1993; 79:528-32. [CrossRef]
Öz
Amaç: Şıvannomalar yılda 0.3-0.5/100.000 insidans ile en sık görülen primer omurga tümörleridir. Sendromik olmayan spinal şıvannomalar için güncel tedavi yöntemi tümörün nörovasküler yapılar korunarak total çıkarımıdır. Bu makale, kliniğimizdeki sendromik olmayan spinal şıvannoma vakalarının tedaviden sonraki nörolojik ve radyolojik sonuçlarını rapor etmeyi amaçlamaktadır.Hastalar ve Yöntemler:Bu retrospektif vaka serisi, sendromik olmayan spinal şıvannomu olan 82 hasta ile yapılmıştır. Hastaların verileri hastane kayıtlarından bulunmuştur. Tümör çıkarım ameliyatı sonrası nörolojik muayene ve kırk beşinci, yüz sekseninci ve üç yüz altmışıncı günlerde takibi yapılmıştır. Karnofsky performans durum değerlendirmesi ışığında; hastaların acı, duyu ve motor zayıflıkları nörolojik iyileşmeyi göstermek için puanlandırılmıştır. Bulgular: Ameliyat öncesinde ve sonrasındaki komplikasyon sadece iki hastada gerçekleşmiştir. Sonuç: Bulgularımız, sendromik olmayan spinal şıvannomaların total reseksiyonunun, etkin ve güvenilir bir cerrahi girişim olduğunu ortaya koymaktadır
Anahtar Kelimeler
Kaynakça
- 1. Seppala MT, Haltia MJ, Sankila RJ, Jaaskelainen JE, Heiskanen O. Long-term outcome after removal of spinal schwannoma: a clinicopathological study of 187 cases. J Neurosurg 1995; 83:621-6. [CrossRef]
- 2. Jinnai T, Koyama T. Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases. Neurosurgery 2005; 56:510-5.
- 3. Safavi-Abbasi S, Senoglu M, Theodore N, Workman RK, Gharabaghi A, Feiz-Erfan I, et al. Microsurgical management of spinal schwannomas: evaluation of 128 cases. J Neurosurg Spine 2008; 9:40-7. [CrossRef]
- 4. MacCollin M, Chiocca EA, Evans DG, Friedman JM, Horvitz R, Jaramillo D, et al. Diagnostic criteria for schwannomatosis. Neurology 2005; 64:1838-45. [CrossRef]
- 5. Gottfried ON, Binning MJ, Schmidt MH. Surgical approaches to Spinal Schwannomas. Contemporary Neurosurgery 2005; 27:1-9.
- 6. Javalkar VK, Pigott T, Pal P, Findlay G. Multiple schwannomas: report of two cases. Eur Spine J 2007;16: 287-92. [CrossRef]
- 7. Asazuma T, Toyama Y, Maruiwa H, Fujimura Y, Hirabayashi K. Surgical strategy for cervical dumbbell tumors based on a three-dimensional classification. Spine 2004; 29: E10-4. [CrossRef]
- 8. Cury J, Coelho RF, Srougi M. Retroperitoneal schwannoma: case series and literature review. Clinics 2007; 62:359-62.
- 9. Chowdhury FH, Haque MR, Sarker MH. High cervical spinal schwannoma; microneurosurgical management: an experience of 15 cases. Acta Neurol Taiwan 2013; 22:59-66.
- 10. Fernandes RL, Lynch JC, Welling L, Gonçalevs M, Tragante R, Pereira C. Complete removal of the spinal nerve sheath tumors. Surgical technics and results from a series of 30 patients. Arq Neuropsiquiatr 2014; 72:312-7.
- 11. .Iwasaki Y, Hida K, Koyanagi I, Yoshimoto T, Abe H. Anterior approach for dumbbell type cervical neurinoma. Neurol Med Chir 1999;39:835-9.
- 12. Kim P, Ebersold MJ, Onofrio BM, Quast LM. Surgery of spinal nerve schwannoma. Risk of neurological deficit after resection of involved root. J Neurosurg 1989; 71:810-4. [CrossRef]
- 13. Klekamp J, Samii M. Introduction of a score system for the clinical evaluation of patients with spinal processes. Acta Neurochir 1993;123:221-3.
- 14. Parmar H, Patkar D, Gadani S, Shah J. Cystic lumbar nerve sheath tumours: MRI features in five patients. Australas Radiol 2001;45:123-7.
- 15. Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B. Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg 2001; 94:210-5.
- 16. Seppala MT, Haltia MJ. Spinal malignant nerve-sheath tumor or cellular schwannoma? A striking difference in prognosis. J Neurosurg 1993; 79:528-32. [CrossRef]
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2019 |
| Yayımlandığı Sayı | Yıl 2019Sayı: 2 |