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Pathology

Schwannomas are the most common intradural extramedullary spinal lesions (30% cases), followed by meningiomas ( 25% cases).

MRI

MRI is the modality of choice to fully characterise these masses, and the appearance will vary depending on the histology. The key benefits of MRI over other modalities, is the ability to clearly define the relationship of the mass to the cord, to identify secondary lesions, to identify large feeding/draining vessels and hopefully to give a pre-operative diagnosis.

Treatment

The recommended operation for the IDEM is middline posterior approach in prone position. After laminectomy dura is opened in the midline and tumor can be approache from the psterion approach. 40 years old patient presented in hospital with complain of weakness of all four limbs for last 3 months. the weakness was progressive. patient was whell chair bound for 2 months. Patient also had difficulty in passing urine. On examination patient was having spastic quadreparesis. Power in limbs were 3/5.

Mri cervical spine shows C5C6 intradural extradural tumour size 18mm x 6mm, compressing the cord.

Patient was taken for surgery,, C5 C6 Iaminectomy was done with total excision of tumour under GA

Patient improved in post operative and started walking without support in two weeks.

Histopathology show it to be bening tumour schwannoma.

Service & Treatment

• Lumbar and cervical microdisectomy.
• surgery and management of spine fracture & injuries.
• Treatment of Paraplegia and Quadreplegia.
• Treatment and surgery of Tubercular Spine.
• Treatment of Nerve injuries or diseases.
• MICRO NEUROSURGERY
• BRAIN DISEASES
• Brain Tumors
• Aneurysms
• Head Injury
• Epilepsies & Siezure Disorder
• Brain Hemorrhage
• Stroke/Brain Attack
• Infections of Brain
• Hydrocephalus
• Movement Disorders
• Degenerative Disorders
• Nerve Disorders
• BRAIN SURGERY
• MRI 15 TESLA
• C.T. SCAN
• E.E.G.