Categories

Volume 9 Issue 8 (August, 2021)

Original Articles

Intradural conus and cauda equine tumors- clinical presentation Prognosis and outcome after surgical treatment
Dr. Bhoopesh Kumar Gupta, Dr. Sushil Acharya

Background: Conus and cauda equina tumors represent a unique group of tumors due to their specific location in the spinal canal. Hence; the present study was conducted for assessing clinical presentation, Prognosis and outcome after surgical treatment of Intradural conus and cauda equine tumors. Materials & methods: All cases of intradural cauda equina and conus medullaris tumors (CECMTs) treated surgically were retrospectively evaluated. A total of 30 adult patients were enrolled. Among these subjects, 18 were males and 12 were females. Follow-up data was recorded for a time period of one year and data was evaluated. All the findings were recorded in separate Performa. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis. Results: Nerve sheath tumors were seen in 53.33 percent of the cases while Ependymomas and Meningiomas were seen in 30 percent and 16.67 percent of the patients respectively There were 80% individuals having LBP, 70% with radicular pain, 43.33% with motor deficit, 16.67% with sensory deficit and 13.33% patients had sphincter involvement. After surgery, improvement was seen in 66.67 percent of the patients. Conclusion: Intradural CECMTs present as a group of tumors with varying histological features and clinical symptoms. Early surgery is advisable as more than two-third of the patients show improvement on follow-up.

 
Html View | Download PDF | Current Issue