馬尾神経部に発生した腫瘍の手術

• Published in: 脊髄外科 Vol. 19; no. 1; pp. 55 - 60
• Main Authors: 井田, 正博, 朝本, 俊司, 神保, 洋之, 土居, 浩, 小林, 信介, 阪川, 肇, 遠藤, 孝裕
• Format: Journal Article
• Language: Japanese
• Published: 日本脊髄外科学会 31.03.2005; The Japanese Society of Spinal Surgery
• Subjects: cauda equina tumor; surgical treatment
• ISSN: 0914-6024; 1880-9359
• DOI: 10.2531/spinalsurg.19.55

STUDY DESIGN : Surgical technique for the cauda equina tumors. MATERIALS AND METHODS : 10 patients with cauda equina tumors were treated surgically. There were 6 men and 4 women, with ages ranging from 33 years to 76 years. In all 10 cases, schwannoma were exhibited in 7 patients, ependymoma was exhibited in 1 patient, mixed-glioma was exhibited in 1 patient and metastatic tumor was 1 patient. In the 7 cases of schwannoma, 2 cases were giant schwannoma. All patients presented with lumbago or pain of lower extremities. 1 patient had an emergency operation performed. Complete tumor resection was possible in 8 cases (schwannomas and ependymoma), and subtotal tumor resection (more than 90%) was done in 2 patients (mixed-glioma and metastatic tumor). OUTCOME : All patients had good outcomes after operations. CONCLUSION : It is very important to make a good approach with resection of cauda equina tumors, especially, giant schwannoma/ or metastatic tumors.