Spinale Tumoren -- Teil 2: Intradurale Tumoren

Spirig, J.; Fournier, J.-Y.; Hildebrandt, G.; Gautschi, O. P.
July 2011
Praxis (16618157);7/6/2011, Vol. 100 Issue 14, p849
Academic Journal
Intradural spinal tumors are classified in extra- and intramedullary tumors. The most frequent intradural-extra-medullary tumors are meningiomas and neurinomas. Among the intradural-intramedullary tumors the most frequent ones are ependymomas and astrocytomas. Independent of their origin, spinal tumors usually manifest with progressive local or radicular pain and neurological deficits. The treatment of choice for most of these tumors is a complete surgical resection. In tumors with infiltrative growth into the intramedullary area, a marginal tumor tissue has to be left in situ in order to avoid additional neurological deficits. In particular if neurological deficits appear, a fast surgical intervention is indicated, since the prognosis depends on duration and severity of the preoperative existing deficits. Below, clinical presentation and relevant treatment options of spinal intradural tumors are discussed.


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