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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44706

Intradural Extramedullary Spinal Tumor treatment Modalities Using Intraoperative Neurophysiological Monitoring

Mohamed A. Samir, Adel S Ismail, Ahmed Basher Mohamed, Ahmed A. Morsy

Abstract

Background: Intradural extramedullary tumors (IDEMs) are treatable and the surgical goal is a total resection. Intraoperative neurophysiological monitoring (IOM) may be valuable to achieve a radical resection during surgery for IDEMs in two ways. Firstly by confirming the physiological integrity of neural pathways during uneventful procedures. Secondly, by detecting a neurological injury in time for corrective measures to be taken, before an irreversible damage occurs. The use of IOM during surgery for intramedullary spinal cord tumors (ISCT) has become a standard. Vice versa, the utility of IOM for IDEMs has not yet been clearly confirmed. Objective: To improving outcomes of patients with intradural extramedullary spinal tumors. Conclusion: The use of intraoperative neurophysiological monitoring lead to better neurological outcomes at discharge and follow-up.

Keywords

Intradural extra medullary, IONM, Neurophysiological Monitoring.

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