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- Title
THE EFFECT OF TIME INTERVAL TO SURGERY ON THE CLINICAL OUTCOME OF PATIENTS WITH INTRAMEDULLARY TUMOR AT HASAN SADIKIN GENERAL HOSPITAL.
- Authors
Banjarnahor, J. D.; Dahlan, R. H.; Ompusunggu, S. E.
- Abstract
Objective: the authors analysed the outcome of intramedullary spinal cord tumor surgery, focusing on the preoperative & postoperative neurological status and influence of time interval on clinical outcome of surgery. Methods: retrospective analysis of medical records of 25 intramedullary tumour patients, operated at our institute between Jan 2012 – Jan 2018 was done. Pre – and postoperative neurological status was determined. Ambulatory status were evaluated using the modified McCormick Scale (MMS). Results: 44% of the patients were in 41-60 years of age group (age range, 18-80 years; mean age 37 years). Region most commonly affected was thoracic (48%). The preoperative McCormick grade was I in 0 (0%), II in 2 (8%), III in 6 (24%), IV in 10 (40%), and V in 7 (28%) patients. Histologically 60% of the lesions were ependymomas. Overall postoperative neurological status improved in 8 (32%) of the patients, remained unchanged in 27 (68%) of cases, and deteriorated in 0 (0%) patients. Conclusion: better outcome correlated with good preoperative Modified McCormick Scale. Time interval for surgery does not significantly affected clinical outcome. We favor early preoperative Modified McCormick Scale as a stronger indicator to predict outcome and time to do optimal resection in IMSCT patients.
- Subjects
TUMOR surgery; ASTROCYTOMAS; HOSPITALS
- Publication
Neurosurgery & Neurology of Kazakhstan, 2019, Vol 54, Issue 1, p23
- ISSN
1813-3908
- Publication type
Article