Prognostic factors of intraspinal neurilemmoma and meningioma with severe preoperative motor deficits.

S. H. Chern, S. M. Lin, S. H. Tseng, Y. K. Tu, L. S. Yang, M. C. Kao, C. C. Hung

研究成果: 雜誌貢獻文章

7 引文 斯高帕斯(Scopus)

摘要

A total of 20 cases of intraspinal benign tumors (13 neurilemmomas and seven meningiomas) with severe motor deficits operated on from 1978 to 1991 were reviewed. Motor deficits were graded according to the classification of Cooper and Ebstein. Grade IV represented slight movement of the lower extremities, but no ability to walk or stand; grade V was complete paralysis. There were 16 patients classified as grade IV and four classified as grade V. All patients underwent total excision of the tumor and postoperative physical therapy. After various periods of follow-up, 13 patients could walk independently, five could walk with assistance, one could stand, and one was still restricted to a wheelchair. For the 13 patients who could walk independently, 11 were able to stand within one month after surgery. In contrast, of the seven patients who could not walk independently, only two managed to stand within one month of surgery. Statistically, age, duration of paraplegia and tumor location all had a significant influence on the recovery of motor function. Being able to stand within one month of surgery was predictive of a good recovery.
原文英語
頁(從 - 到)227-230
頁數4
期刊Journal of the Formosan Medical Association = Taiwan yi zhi
92
發行號3
出版狀態已發佈 - 三月 1 1993
對外發佈Yes

ASJC Scopus subject areas

  • Medicine(all)

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