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Abstract
In this study 20 patients with intradural spinal cord tumors were admitted in neurosurgical department in Menoufiya University hospital to be managed and operated.
The aim of the study is evaluation of different types of intradural spinal cord tumors, their management, complications and outcome.
After taking consent, all patients were examined neurologically and were categorized according to Frankel scale.The mean age in our study was 40.8 and the largest proportion of cases was encountered during the fourth decade of life.
In our study, males were commonly affected 1.5:1.Motor presentation (85%) was the commonest presentation in most cases followed by sensory disturbance, pain and autonomic disturbance respectively.
In most cases there was more than one presentation.Frankel scale was used for evaluation of the neurological condition of the patient preoperatively and assessment of the outcome postoperatively.
MRI was done for all patients to evaluate the site, size, extent and the relation of the tumors to the cord matter.
All the patients were surgically managed after taking consent and detection the site of the tumor.
All of patients were operated in a prone position.
After laminectomy and dural incision, the mass was removed if this mass was extramedullary and mylotomy was done in cases of intramedullary masses followed by good hemostasis and tight closure of the dura, lastly approximation of the muscles and closure of the subcutaneous tissue and the skin.