MICROSURGICAL MANAGEMENT OF LOW-GRADE SPINAL CORD ASTROCYTOMA IN ADULTS: A PERSONAL CASE SERIES REPORT AND BRIEF LITERATURE REVIEW.

Intramedullary tumor Low-grade astrocytoma Microsurgical management

Journal

Acta clinica Croatica
ISSN: 1333-9451
Titre abrégé: Acta Clin Croat
Pays: Croatia
ID NLM: 9425483

Informations de publication

Date de publication:
Sep 2020
Historique:
entrez: 28 6 2021
pubmed: 29 6 2021
medline: 30 6 2021
Statut: ppublish

Résumé

Astrocytoma is the second most common intramedullary tumor of predominantly low-grade malignancy in adult patients. Adult astrocytomas have better-quality prognosis compared with astrocytomas in children. Although a standardized surgical management protocol for spinal cord glioma is currently unavailable, surgery of low-grade astrocytoma should be aimed at gross total resection to preserve neurological function and to improve the outcome. Herein, we present a personal case series of four consecutive adult spinal cord astrocytoma patients who were operated on during the last few years. Tumor resection was performed in all patients utilizing microsurgical technique and intraoperative neurophysiologic monitoring. We also provide a literature review of the treatment of intramedullary astrocytoma in adults and discuss contemporary surgical management and prognosis.

Identifiants

pubmed: 34177061
doi: 10.20471/acc.2020.59.03.15
pii: ACC-59-505
pmc: PMC8212640
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

505-512

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Auteurs

Mirza Pojskić (M)

1Department of Neurosurgery, University of Marburg, Marburg, Germany; 2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 4University of Applied Health Sciences, Zagreb, Croatia; 5School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; 7Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.

Krešimir Rotim (K)

1Department of Neurosurgery, University of Marburg, Marburg, Germany; 2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 4University of Applied Health Sciences, Zagreb, Croatia; 5School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; 7Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.

Bruno Splavski (B)

1Department of Neurosurgery, University of Marburg, Marburg, Germany; 2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 4University of Applied Health Sciences, Zagreb, Croatia; 5School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; 7Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.

Kenan I Arnautović (KI)

1Department of Neurosurgery, University of Marburg, Marburg, Germany; 2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 4University of Applied Health Sciences, Zagreb, Croatia; 5School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; 7Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.

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