Functional Outcomes of Surgical Management for Spinal Epidural Masses in an Egyptian Tertiary Hospital

Authors

  • Amr Mostafa Elkatatny Department of Neurosurgery, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt
  • Hossam Eldin Mostafa Department of Neurosurgery, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt
  • Ahmad H. Gouda Department of Neurosurgery, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt
  • Mohamed Abdeltawab Mahmoud Department of Neurosurgery, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt
  • Dina Mahmoud Alnajjar Department of Diagnostic Radiology, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt
  • Dina Abdelazim Ghoraba Department of Neurosurgery, Kasralainy School of Medicine and University Hospitals, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2019.575

Keywords:

Spinal epidural mass, Microsurgical resection, Neurosurgery, Functional Outcome

Abstract

BACKGROUND: The spinal epidural space, covering the dural sac, is located along the posterior longitudinal ligament anteriorly, the ligamentum flavum and the periosteum of laminae posteriorly, and the pedicles of the spinal column by the intervertebral foramina containing their neural elements laterally. It could be affected variably by different types of diseases, either as primary lesions or as an extension from a disease process in the nearby tissues and organs.

AIM: We aimed to present clinically and surgically patients with spinal epidural masses operated in the Neurosurgery Department of Cairo University Hospitals, Cairo, Egypt, along a time interval of one year.

METHODS: In this prospective cohort study, we analysed motor deficits, sensory deficits, and bowel and bladder dysfunction. We have performed decompressive laminectomy on 19 patients with spinal epidural masses together with mass excision as long as the tumour was accessible, with or without fixation.

RESULTS: All patients were radiologically assessed by MRI over the affected side of the spine. D10 was the commonest site in our study to be affected in 10 cases of our participants (23%), followed by D5, D7, and D12 each of them was affected in 6 cases (14%), in another word spinal segments by order of frequency to be affected were dorsal followed by lumbar spine. All patients included in this study (100%) showed an obvious improvement as regard pain and tenderness.

CONCLUSION: Surgical interventions have improved the quality of life for our patients with spinal epidural masses.

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Published

2019-08-20

How to Cite

1.
Elkatatny AM, Mostafa HE, Gouda AH, Mahmoud MA, Alnajjar DM, Ghoraba DA. Functional Outcomes of Surgical Management for Spinal Epidural Masses in an Egyptian Tertiary Hospital. Open Access Maced J Med Sci [Internet]. 2019 Aug. 20 [cited 2024 Mar. 29];7(17):2829-37. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.575

Issue

Section

B - Clinical Sciences

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