Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0026838 (spasticity)
 6,471 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Authors performed in two patients a macroscopically complete exeresis of a panspinal ependymoma. The first case concerns a 27 years old woman, submitted to surgery in 1971, soon after a delivery, who exhibited a tumor in all points identical to the one described by G. Horrax an D. Henderson (1939). The second case concerns a male subject submitted to surgery in May 1973 because of a lesion extending from C2 to L2 and corresponding to a dorsal fleshy ependymoma, surrounded by two voluminous pseudosyringomyelic cysts, with respectively cervical and dorsal-lumbar localization. Such cases rare, with sometimes difficult clinical and roentgenologic diagnosis, raise before all problems of surgical tactics. We are dealing here with benign ependymomas, few favourable to roentgentherapy. Their management is surgical, i.e. complete exeresis. The few common extent of some of these tumors to the totality of the spinal cord does not modify in any manner such a principle. The same may be said of some etiologic circumstances, such as pregnancy, that often enough constitute a postponing of diagnosis and mangement detrimental for the patient. Only, the march of the surgical procedure may be object of discussion. The here reported experience lets appear that, when necessary, complete exeresis may be performed in one session under the same conditions and with the same spinal risks than for a less extensive analogous tumor. At long term the problem of spasticity of lower extremities has to be considered. However, in spite of extensive laminectomy, no major deformity of the vertebral column is to be noted.
 ...
PMID:[Pan-spinal ependymoma. Apropos of 2 cases with complete exeresis]. 118 43

A spinal cordectomy is a treatment option for several disorders of the spinal cord like post-traumatic syringomyelia, spinal cord tumor and myelomeningocele. We have done a systematic analysis of all reported cases of spinal cordectomy to investigate the possible outcomes and complications. A PubMed search was performed for literature published from 1949 to 2015 with search words "spinal cordectomy", "spinal cord transection" and "cordectomy for malignant spinal cord tumors" to select articles containing information about the indication, outcome and complication of spinal cordectomy performed for diverse etiologies. Spinal cordectomy was performed for post-traumatic syrinx (76 cases), SPAM (2 cases), Central pain of spinal cord origin (22 cases), Spasticity (8 cases), Spinal tumors (16 cases) and Myelomeningocele (30 cases). Among the 76 cases, 60 cases fulfilled the inclusion criteria for our outcome analysis in terms of improvement, stabilization or deterioration after spinal cordectomy. The results showed 78.3% excellent improvement, 13.4% stable and 8.3% (5 cases) deterioration. The reported causes of failure of spinal cordectomy for post-traumatic syrinx were scarring of a proximal stump and severe arachnoid adhesion. Sixteen cases of spinal cordectomy related with spinal cord tumors have been reported. Also reported were seven cases of GBM, two cases of AA and one each case of anaplastic tanycytic ependymoma, schwanoma, neurofibroma, atypical meningioma and malignant ganglioglioma. Cordectomy shouldbe strongly considered in patients having malignant spinal cord tumors with complete motor loss and sensory loss below the level of the lesion as a means of preventing the spread of disease from the original tumor focus. Spinal cordectomy is a treatment option with a good outcome for post-traumatic spinal morbidity, spinal cord tumors and myelomeningocele. However, since it is an invasive and irreversible procedure, it is only considered when other options have been exhausted.
 ...
PMID:Spinal cordectomy: A new hope for morbid spinal conditions. 2784