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Trial Title:
Surgical Outcome of Dorsolumbar Intradural Extramedullary Spinal Cord Tumors
NCT ID:
NCT05678608
Condition:
Spinal Cord Tumor
Conditions: Official terms:
Spinal Cord Neoplasms
Study type:
Interventional
Study phase:
N/A
Overall status:
Recruiting
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Procedure
Intervention name:
surgical excision
Description:
posterior midline approach and total excision for spinal cord tumors
Arm group label:
spinal cord tumors group
Summary:
Primary spinal cord tumors constitute 2-4% of all central nervous system neoplasms; they
are classfied as extradural, intradural extramedullary (IDEM: 65%), and intramedullary
The most commonly seen IDEM tumors are schwannomas, neurofibromas, and meningiomas. [1]
The less frequently encountered IDEM tumors include ependymomas, lipomas, hemangiomas,
metastatic deposits, paragangliomas, nerve sheath myxomas, and vascular tumors.[2] Spinal
cord tumors can cause different signs and symptoms, especially as tumors grow. The tumors
may affect spinal cord or the nerve roots, blood vessels or bones of spine. Signs and
symptoms may include: Pain at the site of the tumor due to tumor growth Back pain, often
radiating to other parts of body Feeling less sensitive to pain, heat and cold Loss of
bowel or bladder function Difficulty walking, muscle weakness .
MRI is the investigation of choice,however other investigation such CT or X ray are
important to ensure stability of the vertebral column and the optimal management is gross
total excision for symptomatic lesions.[3,4] Over the years, there has been no
significant change in the clinical symptoms and pathology of IDEM tumors. However, there
have been dramatic improvements in the diagnosis and treatment with the advances of
radiological and surgical techniques. Despite advances in operative techniques and
neuroimaging, the morbidity associated with the resection of IDEM tumors continues to be
significant [5,6].
Here, we examined the surgical outcomes of 20 patients with IDEM spinal cord tumors
operated in Neurosurgery department at Sohag university Hospital
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- patients with intradural extramedullary lesion in dorsolumber region
Exclusion Criteria:
- previous history of spinal surgery
- unfit medical patients
- multiple level affection
- associated cervical lesion
- unstable segment
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Sohag University Hospital
Address:
City:
Sohag
Country:
Egypt
Status:
Recruiting
Contact:
Last name:
Magdy M Amin, professor
Start date:
December 13, 2022
Completion date:
May 2023
Lead sponsor:
Agency:
Sohag University
Agency class:
Other
Source:
Sohag University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05678608
