Functional outcome of

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Functional outcome of radical surgery for
intramedullary spinal cord tumors in pediatric
patients with severe neurological deficit

• Yury Kushel, MD
• NN Burdenko Neurosurgical Institute, Moscow

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SX for IMSCT is first-line treatment BUT
...patients with advanced preoperative
sensorimotor deficit are at substantial risk of
developing a complete loss of function, and the
preoperative grade of all those who improved was
less than 3...
Neurosurgery Volume 35(1) July 1994 p
69-76 Surgical Management of Intramedullary
Spinal Cord Tumors Functional Outcome and
Sources of Morbidity Cristante, Loris M.D.
Herrmann, Hans-Dietrich M.D.
In patients suffering perioperative morbidity the
McCormick functional grade was more likely to be
higher than in other patients...
J Neurosurg Spine 2249255, 2005 Intramedullary
spinal cord tumors in patients older than 50
years of age management and outcome analysis
RAJK. SHRIVASTAVA, M.D., FREDJ. EPSTEIN, M.D.,
NOELI. PERIN, M.D., F.R.C.S., KALMOND. POST,
M.D., ANDGEORGEI. JALLO, M.D.
J Neurosurg (Spine 2) 93183193, 2000 Radical
excision of intramedullary spinal cord tumors
surgical morbidity and long-term follow-up
evaluation in 164 children and young adults
SHLOMI CONSTANTINI, M.D., M.SC., DOUGLASC.
MILLER, M.D., JEFFREYC. ALLEN, M.D., LUCYB.
RORKE, M.D., DIANAFREED, ANDFREDJ. EPSTEIN, M.D.
The risk of surgery-related morbidity to the
patient increased in proportion to preoperative
neurological dysfunction.
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Between 2002-2005 55 patients with intramedullary
spinal cord tumors were operated by author in
Burdenko NSI. Kids (less then 18 yo) represented
40 patients. In our prospectively hold database
we identified 21 kids who were in poor grade by
McCormick scale (3-4) before surgery
we are using original McCormick 4-points scale
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Tumors overview
GBM
Ependymoma
Astrocytoma
JPA
Ganglioastrocytoma