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Acta Neurochirurgica

, Volume 17, Issue 1–2, pp 7–23 | Cite as

Intramedullary tumours of the spinal cord

  • B. Guidetti
Article

Summary

This study is based upon 71 primary intramedullary tumours of the spinal cord operated upon by the same surgeon during a period of 15 years. The series includes 60 gliomas, 9 rare tumours and 2 non classified intra-medullary tumours.

The indications and contraindications for surgical treatment are discussed.

Keywords

Public Health Spinal Cord Interventional Radiology Alla Rare Tumour 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Die Darstellung stützt sich auf eine Serie von 71 primären intramedullären Tumoren des Rückenmarks, die in einem Zeitraum von 15 Jahren immer von demselben Neurochirurgen operiert worden sind. Die Serie enthält 60 Gliome, 9 seltene Tumoren und 2 nicht klassifizierbare intramedulläre Tumoren. Indikationen und Kontraindikationen der chirurgischen Therapie werden besprochen.

Résumé

Cette étude est basée sur 71 tumeurs primitives intra-médullaires opérées par le même chirurgien pendant une période de 15 ans. La série comprend 60 gliomes, 9 tumeurs rares et 2 non classées.

Indications et contrindications du traitement chirurgical sont discutées.

Riassunto

In base alla personale esperienza di 71 tumori intramidollari sottoposti a trattamento chirurgico ed ai risultati conseguiti da altri neurochirurghi ed esposti in letteratura, l'Autore eaprime la sua opinione sulla condotta terapeutica da seguire nei singoli tumori situati nell'interno del midollo.

Resumen

La expositión se apoya en una serie de 71 tumores intramedulares primarios de la medula espinal, los cuales fueron operados siempre por los mismos neurocirujanos en el espacio de 15 años. La serie contiene 60 gliomas, 9 tumores raros y 2 tumores intramedulares no clasificables. Se trata sobre las indicaciones y contraindicaciones de la terapéutica quirurgica.

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References

  1. 1.
    Arseni, C., etS. Ionesco, Les compressions médullaires dues à des tumeurs intrarachidiennes. Étude clinico-statistique de 362 cas. J. Chir. Paris75 (1958), 582–594.Google Scholar
  2. 2.
    Asenjo, A., M. Contreras, andJ. Espinoza, Lipomas intraespinales. Arch. Soc. Cirugia15 (1945), 773–779.Google Scholar
  3. 3.
    Austin, G., The spinal cord, 532 pp. Springfield, Illinois: Ch. C. Thomas. 1961.Google Scholar
  4. 4.
    Bergamini, V., A. Fabiani eD. Schiffer, Contributo allo studio degli ependimomi: ependimomi spinali (2 casi). Acta Neurol.17 (1962), 206–218.Google Scholar
  5. 5.
    Bergstrand, A., O. Höök, andH. Lidvall, Vascular malformations of the spinal cord. Acta Neurol. Scand.40 (1964), 169–183.Google Scholar
  6. 6.
    Bernasconi, V., eV. Cassinari, Tumori e malformazioni vasali spinali. Acta Neurochir.10 (1961), 1–50.Google Scholar
  7. 7.
    Bettaieb, A., Les tumeurs primitives intramedullaires extirpables de la région cervical et dorsale. Thèse de Paris (1960).Google Scholar
  8. 8.
    Black, S. P. W., andW. J. German, Four congenital tumors found at operation within the vertebral canal, with observations on their incidence. J. Neurosurg.7 (1950), 49–61.Google Scholar
  9. 9.
    Briani, S., eL. Peserico, Dermoidi ed epidermoidi spinali. Ospedali d'Italia5 (1961), 756–762.Google Scholar
  10. 10.
    Brizzi, R., Intraspinal dermoids. Report of three cases. Acta Neurochir.4 (1955), 164–170.Google Scholar
  11. 11.
    Broager, B., Spinal intramedullary glioma, Subtotal or partial excision and X-ray treatment in five cases. Minerva Neurochir.9 (1965), 1–5.Google Scholar
  12. 12.
    Bucy, P. C., andD. N. Buchanan, Teratoma of the spinal cord. Surg. Gynec. Obstet.60 (1935), 1137–1144.Google Scholar
  13. 13.
    — andW. A. Gustafson, Intradural lipoma of the spinal cord. Zbl. Neurochir.3 (1939), 341–349.Google Scholar
  14. 14.
    Cairns, H., andG. Riddoch, Observations on the treatment of ependymal gliomas of the spinal cord. Brain54 (1931), 117–146.Google Scholar
  15. 15.
    Caram, P. C., G. Scarcella, andC. A. Carton, Intradural lipomas of the spinal cord (with particular emphasis on the intramedullary lipomas). J. Neurosurg.14 (1957), 28–42.Google Scholar
  16. 16.
    Columella, F., andG. B. Delzanno, Epidermoide endomidollare. Acta Neurol.12/1 (1957), 12–15.Google Scholar
  17. 17.
    Craig, W. Mck., andG. Horrax, The occurence of hemangioblastomas (two cerebellar and one spinal) in three members of a family. J. Neurosurg.6 (1949), 518–529.Google Scholar
  18. 18.
    —,H. P. Wagener, andJ. W. Kernohan, Lindau von Hippel disease. A report of four cases. Arch. Neurol. Psych.46 (1941), 36–54.Google Scholar
  19. 19.
    Crosby, R. M., J. A. Wagner, andP. Nichols, Intradural lipoma of the spinal cord. J. Neurosurg.10 (1953), 81–86.Google Scholar
  20. 20.
    Ectors, L., etJ. Hozay, Tumeurs épidermoïdes cépaliques et rachidiennes. Acta Neurol. Belg.58 (1958), 655–681.Google Scholar
  21. 21.
    Ehni, G., andJ. G. Love, Intraspinal lipomas: report of cases, review of the literature, and clinical and pathologic study. Arch. Neurol. Psychiat.53 (1945), 1–28.Google Scholar
  22. 22.
    Elsberg, C. A., Tumors of the spinal cord and the symptoms of irritation and compression of the spinal cord and nerve roots — Pathology, symptomatology, diagnosis and treatment, 421 pp. New York: Paul B. Hoeber. 1925.Google Scholar
  23. 23.
    —, Surgical diseases of the spinal cord, membranes and nerve roots: symptoms, diagnosis and treatment, 598 pp. New York: Paul B. Hoeber. 1941.Google Scholar
  24. 24.
    Elsberg, C., andE. Beer, The operability of intramedullary tumors of the spinal cord. A report of two operations with remarks upon the extrusion of intraspinal tumors. Amer. J. M. Sc. n. s.142 (1911), 636–647.Google Scholar
  25. 25.
    Eneström, S., andO. Gröntoft, Oligodendroglioma of the spinal cord: report of one case. Acta Path. Microbiol. Scandinav.40 (1957), 396–400.Google Scholar
  26. 26.
    Falconer, M. A., andR. S. Hooper, Intramedullary epidermoid cyst of the spinal cord. Report of a case with remarks on early diagnosis. Brit. J. Surg.28 (1941), 538–543.Google Scholar
  27. 27.
    Frugoni, P., P. Conforti eG. Iraci, Gliomi intramidollari. Considerazioni su 36 casi sottoposti ad intervento. Minerva Neurochir.9 (1965), 6–9.Google Scholar
  28. 28.
    Giuffrè, R., Intradural Spinal Lipomas. Review of the literature (99 cases) and report of an additional case. Acta Neurochir.14 (1966), 69–95.Google Scholar
  29. 29.
    Gori, G., eU. Nucci, Considerazioni su 60 casi di tumori intramidollari controllati a distanza. Giorn. Psichiatr. Ferrara93 (1965), 1113–1128.Google Scholar
  30. 30.
    Grant, F. C., andG. M. Austin, The diagnosis, treatment and prognosis of tumors affecting the spinal cord in children. J. Neurosurg.13 (1956), 535–545.Google Scholar
  31. 31.
    Greenwood, J., Total removal of intramedullary tumors. J. Neurosurg.11 (1954), 616–621.Google Scholar
  32. 32.
    —, Intramedullary tumors of spinal cord. A follow-up study after total surgical removal. J. Neurosurg.20 (1963), 665–668.Google Scholar
  33. 33.
    Guidetti, B., A. Fortuna, G. Moscatelli eA. Riccio, I tumori intramidollari. Rome, Il Lavoro Neuropsichiatrico, 1964, 408 pp.Google Scholar
  34. 34.
    Hamby, W. B., Tumors in the spinal canal in childhood: Analysis of the literature of a subsequent decade (1933–1942); report of a case of meningitis due to an intramedullary epidermoid communicating with a dermal sinus. J. Neuropath. Exp. Neurol.3 (1944), 397–412.Google Scholar
  35. 35.
    Hirano, A., andC. A. Carton, Primary malignant melanoma of the spinal cord. J. Neurosurg.17 (1960), 935–944.Google Scholar
  36. 36.
    Horrax, G., andD. Henderson, Encapsulated intramedullary tumor involving the whole spinal cord from medulla to conus: complete enucleation with recovery. Surg. Gynec. Obst.68 (1939), 814–819.Google Scholar
  37. 37.
    Hullay, J., O. Oszlánsky, andP. Halász, Intramedullar Epidermoid successfully operated upon. Acta Neurochir.10 (1962), 410–414.Google Scholar
  38. 38.
    Ingraham, F. D., andO. T. Bailey, Cystic teratomas and teratoid tumors of the central nervous system in infancy and childhood. J. Neurosurg.3 (1946), 511–532.Google Scholar
  39. 39.
    Kernohan, J. W., H. W. Woltman, andA. W. Adson, Intramedullary tumors of the spinal cord. A review of fifty one cases, with an attempt at histologic classification. Arch. Neurol. Psychiat.25 (1931), 679–701.Google Scholar
  40. 40.
    Kiel, F. W., L. B. Starr, andJ. L. Hansen, Primary melanoma of spinal cord. J. Neurosurg.18 (1961), 616–629.Google Scholar
  41. 41.
    King, A. B., Intramedullary epidermoid tumor of the spinal cord. J. Neurosurg.14 (1957), 353–357.Google Scholar
  42. 42.
    King, A., J. Chambers, andJ. Garey, Primary malignant melanoma of the spinal cord. Arch. Neurol. Psychiat.68 (1952), 266–275.Google Scholar
  43. 43.
    Krishnan, K. R., andW. T. Smith, Intramedullary haemangioblastoma of the spinal cord associated with pial varicosities simulating intradural angioma. J. Neurol. Neurosurg. Psych.24 (1961), 350–352.Google Scholar
  44. 44.
    Kubie, L. S., andJ. J. Fulton, A clinical and pathological study of two teratomatous cysts of the spinal cord containing mucus and ciliated cells. Surg. Gynecol. Obst.47 (1928), 297–311.Google Scholar
  45. 45.
    Lang, E. F., andC. Bridge, Intramedullary spinal cord tumors. Surg. Clin. N. Amer.39 (1959), 831–839.Google Scholar
  46. 46.
    Langlois, M., P. Darleguy, J. L. Arrou-Vignod, M. Toga etR. Vigouroux, Maladie de Von Hippel-Lindau avec hémangioblastome kystique de la moelle dorsale opéré. Rev. Neurol.110 (1964), 145–152.Google Scholar
  47. 47.
    Leger, H., Refered by Kiel e Coll. (39).Google Scholar
  48. 48.
    Levy, L. F., andA. R. Elvidge, Astrocytoma of the brain and spinal cord review of 176 cases. J. Neurosurg.13 (1956), 413–443.Google Scholar
  49. 49.
    Locoge, M., J. Brihaye etR. Hasaerts, Dysembryomes hétérotopiques du cône médullaire (avec revue de la littérature). Acta Neurol. Psich. Belgica58 (1958), 597–633.Google Scholar
  50. 50.
    Love, J. G., andJ. W. Kernohan, Dermoid and epidermoid tumors (cholesteatomas) of central nervous system. J. Amer. Med. Ass.107 (1936), 1876–1883.Google Scholar
  51. 51.
    Love, J., andM. H. Rivers, Thirty-one-year cure following removal of intramedullary glioma of cervical portion of spinal cord. J. Neurosurg.19 (1962), 906–908.Google Scholar
  52. 52.
    MacCarty, C. S., M. E. Leavens, J. G. Love, andJ. W. Kernohan, Dermoid and epidermoid tumors in the central nervous system of adults. Surg. Gynec. Obst.108 (1959), 191–198.Google Scholar
  53. 53.
    Manno, N. J., A. Uihlein, andJ. W. Kernohan, Intraspinal epidermoids. J. Neurosurg.19 (1962), 754–765.Google Scholar
  54. 54.
    Migliavacca, F., Considerazioni su 82 casi di tumori intramidollari trattati chirurgicamente. Minerva Neurochir.9 (1965), 13–16.Google Scholar
  55. 55.
    Nittner, K., Gliome des Rückenmarks und andere intramedulläre Tumoren. Personal communication. — Die Prognose maligner Tumoren des Spinalkanals. Zbl. Neurochir.19 (1959), 311–312.Google Scholar
  56. 56.
    Obrador, S. A., Ependymomes de la moelle cervicale. Neurochirurgie6 (1960), 282–283.Google Scholar
  57. 57.
    Oljenick, I., Intramedullaire gezwellen (Diagnostick en heelkundige behandeling). Nederl. tijdschr. v. geneesk.80 (1936), 1335–1342.Google Scholar
  58. 58.
    Otenasek, F. J., andM. L. Silver, Spinal hemangioma (hemangioblastoma) in Lindau's disease. Report of six cases in a single family. J. Neurosurg.18 (1961), 295–300.Google Scholar
  59. 59.
    Ramamurthi, B., V. C. Anguli, andG. C. S. Iyer, A case of intramedullary neurinoma. J. Neurol, Neurosurg. Psychiat.21 (1958), 92–94.Google Scholar
  60. 60.
    Rand, R., andC. Rand, Intraspinal tumors of childhood, 560 pp. Springfield, Illinois: Ch. C. Thomas. 1960.Google Scholar
  61. 61.
    Riggs, H. E., andW. U. Clary, A case of intramedullary sheath cell tumor of the spinal cord. Consideration of vascular nerves as a source of origin. J. Neuropath. and Exper. Neurol.16 (1957), 332–336.Google Scholar
  62. 62.
    Riser, Béhague, Géraud etLazorthes, Lipome spinal intradural. Rev. Neurol.74 (1942), 177–178.Google Scholar
  63. 63.
    Root, E. F., Lipoma of the spinal cord. Refered by Bucy e Gustafson (n. 13).Google Scholar
  64. 64.
    Roth, J. G., andA. R. Elvidge, Glioblastoma multiforme: a clinical survey. J. Neurosurg.17 (1960), 736–750.Google Scholar
  65. 65.
    Russell, D. S., Capillary haemangioma of the spinal cord associated with syringomyelia. J. Path. and Bact.35 (1932), 103–112.Google Scholar
  66. 66.
    Russell, J. R., andP. C. Bucy, Oligodendroglioma of the spinal cord. J. Neurosurg.6 (1949), 433–437.Google Scholar
  67. 67.
    Sachs, E., andE. F. Fincher, Intramedullary lipoma of the spinal cord: complete operative removal. Arch. Surg.17 (1928), 829–833.Google Scholar
  68. 68.
    Schultze, F., Erfolgreiche Operation eines intramedullären Tumors. Dtsch. med. Wschr.38 (1912), 1676–1679.Google Scholar
  69. 69.
    Scott, M., andA. Bentz, Intramedullary neurilemmoma (Neurinoma) of the thoracic cord: A case report. J. Neuropath. exp. Neurol.21 (1962), 194–200.Google Scholar
  70. 70.
    Slade, H. W., andF. S. Vinas, Intramedullary lipoma of the spinal cord. Neurology6 (1956), 449–152.Google Scholar
  71. 71.
    Slooff, J. L., J. W. Kernohan, andC. S. MacCarty, Primary intramedullary tumors of the spinal cord and filum terminale, 255 pp. Philadelphia: W. B. Saunders Company. 1964.Google Scholar
  72. 72.
    Umbach, W., Klinik und Verlauf bei 192 spinalen Prozessen mit besonderer Berücksichtigung der Gefäßtumoren. Acta Neurochir.10 (1962), 167–193.Google Scholar
  73. 73.
    Wertheimer, P., G. Allégre etA. Garde, Les tumeurs ependymaires de la moelle et du filum terminale. Rev. Neurol.82 (1950), 153–162.Google Scholar
  74. 74.
    Woltman, H. W., J. W. Kernohan, A. W. Adson, andW. Mck. Craig, Intramedullary tumors of spinal cord and gliomas of intradural portion of filum terminale. Arch. Neurol. Psychiat.65 (1951), 378–395.Google Scholar
  75. 75.
    Wood, E., A. S. Berne, andJ. M. Taveras, The value of radiation therapy in the management of intrinsic tumours of the spinal cord. Radiology63 (1954), 11–24.Google Scholar
  76. 76.
    Woods, W. W., andA. M. Pimenta, Intramedullary lesions of the spinal cord. Arch. Neurol. Psychiat.52 (1944), 383–399.Google Scholar
  77. 77.
    Wyburn-Mason, R., The vascular abnormalities and tumours of the spinal cord and its membranes, 196 pp. London: H. Kimpton. 1943.Google Scholar

Copyright information

© Springer-Verlag 1967

Authors and Affiliations

  • B. Guidetti
    • 1
  1. 1.Department of NeurosurgeryUniversity of Rome, Medical SchoolItaly

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