Intraspinal tumors in children. A review of 81 cases.

Abstract:

:The authors have presented 81 children with intraspinal tumors, all less than 16 years of age. The clinical features indicated that gait disturbance, pain, and sphincter disturbance are the most prominent complaints. Reflex changes, paralysis, and sensory impairment are the most frequent physical findings. Cerebrospinal fluid protein was recorded in 47 patients and was abnormal in 34. Spine radiography was abnormal in 58% of the patients. Seventy of the patients had myelography, and it was diagnostic in 67. Surgery was performed on 79 patients, with a 2.5% operative mortality (30 days postsurgery). Of the 49 patients who are alive, 91.5% are able to walk. Mean follow-up period was 8.5 years. The authors document the benign course of the intramedullary astrocytomas and suggest an approach to their treatment. They encourage an aggressive approach to metastatic intraspinal tumors. The latrogenic origin of some epidermoid tumors is noted. The importance of early diagnosis and treatment of the intraspinal tumors in children is emphasized.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

DeSousa AL,Kalsbeck JE,Mealey J Jr,Campbell RL,Hockey A

doi

10.3171/jns.1979.51.4.0437

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

437-45

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

51

pub_type

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