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作 者:Daniel Memia Zolo Abd el Kader Moumouni Anabi Daouda Diakhate Dabou Abiba Tamoutabe Abderrahman Hamlat
机构地区:[1]Department of Neurosurgery, CHU Martinique, France [2]Department of Neurosurgery, CHU Kara, Togo [3]Department of Neurosurgery, CHU Sylvanus Olympio Lomé, Togo [4]Department of Radiology, HIA Parakou, Benin
出 处:《Open Journal of Modern Neurosurgery》2018年第4期414-423,共10页现代神经外科学进展(英文)
摘 要:Introduction: Intra-dural and extramedullary ependymomas are rare lesions. We report a clinical case confirmed by the histology supported by the neurosurgery department of Martinique University Hospital. Clinical, paraclinical and therapeutic data will be compared to a literature review. Observation: A 38-year-old patient was admitted for tetraparesthesia evolving since 3 months, associated with a left hemiparesis. The clinical examination revealed deterioration of the general condition and a tetrapyramidal syndrome. MRI of the cervical spine revealed extensive cervical extra-medullary intradural lesion of C3 to C5. The treatment had been an excisional surgery that had been subtotal in two stages, supplemented by craniospinal radiotherapy because the pathological examination had found a grade III anaplasic ependymoma. Conclusion: Because of their rarity, the treatment of these forms of ependymoma is not yet well codified.Introduction: Intra-dural and extramedullary ependymomas are rare lesions. We report a clinical case confirmed by the histology supported by the neurosurgery department of Martinique University Hospital. Clinical, paraclinical and therapeutic data will be compared to a literature review. Observation: A 38-year-old patient was admitted for tetraparesthesia evolving since 3 months, associated with a left hemiparesis. The clinical examination revealed deterioration of the general condition and a tetrapyramidal syndrome. MRI of the cervical spine revealed extensive cervical extra-medullary intradural lesion of C3 to C5. The treatment had been an excisional surgery that had been subtotal in two stages, supplemented by craniospinal radiotherapy because the pathological examination had found a grade III anaplasic ependymoma. Conclusion: Because of their rarity, the treatment of these forms of ependymoma is not yet well codified.
关 键 词:INTRADURAL EXTRAMEDULLARY Anaplasic EPENDYMOMA Surgery RADIOTHERAPY
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