1. The clinical outcomes after complete surgical resection of intramedullary cavernous angiomas: changes in motor and sensory symptoms.
- Author
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S. B. Park, T.-A. Jahng, and C. K. Chung
- Subjects
SURGICAL complications ,ANGIOMAS ,PATIENTS with spinal cord injuries ,INTRAMEDULLARY fracture fixation ,SURGICAL excision - Abstract
Study design:Evaluation of the surgical effects of patients with intramedullary spinal cord cavernous angiomas (CAs).Objectives:To assess the sensory and motor deficits in the clinical symptoms of patients with intramedullary CAs after complete surgical resection.Setting:Seoul National University Hospital, Korea.Methods:The authors reviewed 14 patients with intramedullary spinal cord CAs who underwent surgical resection between 1995 and 2006. The average follow-up duration was 55.0±45.1 months. To analyze the changes in the patients' symptoms after surgery, the ASIA (American Spinal Injury Association) and JOA (Japanese Orthopedic Association) scoring systems were used at different time points: preoperative, postoperative and during the final follow-up period.Results:The patients' mean ASIA score at follow-up was increased in comparison to the preoperative score (97.2±5.3 vs 95.2±7.6, P=0.201), but this difference was not significant.The mean JOA motor score at follow-up was slightly increased in comparison to the preoperative score (7.2±1.3 vs 6.8±1.3, P=0.107). There was a significant difference between the patients' preoperative and follow-up JOA sensory score (4.3±1.0 vs 4.9±0.9, P=0.007). The rates of complete resolution of motor and sensory deficits were 45.5% (5/11 patients) and 7.1% (1/14 patients), respectively.Conclusion:Although complete surgical resection could improve the clinical symptoms of intramedullary CAs, the sensory deficits usually remain in the long-term period after complete resection.Spinal Cord (2009) 47, 128–133; doi:10.1038/sc.2008.89; published online 29 July 2008 [ABSTRACT FROM AUTHOR]
- Published
- 2009
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