Adult spinal intramedullary ependymomas: Complete resection

Hyun Jib Kim, Seong Jae Hyun, Sang Hoon Yoon, Ki Jeong Kim

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Achieving gross total resection of the tumor is one of the most important factors in promoting long-term recurrence-free survival in the management of spinal intramedullary ependymomas. Therefore, total resection is primary goal of treatment in the modern era. In this perspective, presence of natural dissection plane between the tumor and the spinal cord is crucial to achieve gross total resection. Some large tumors, often devoid of dissection plane, may preclude gross total resection and increase the risk of postoperative neurological compromise. Moreover, modalities of intraoperative neurophysiological monitoring have evolved recently to avoid additional neurological deficits in resection of these tumors. In this chapter, we describe up-to-date knowledge about spinal intramedullary ependymomas including refined operative techniques for complete resection and surgical outcome.

Original languageEnglish
Title of host publicationTumors of the Central Nervous System
Subtitle of host publicationPineal, Pituitary, and Spinal Tumors
PublisherSpringer Netherlands
Pages327-337
Number of pages11
Volume10
ISBN (Electronic)9789400756816
ISBN (Print)9789400756809
DOIs
StatePublished - 1 Jan 2013

Cite this

Kim, H. J., Hyun, S. J., Yoon, S. H., & Kim, K. J. (2013). Adult spinal intramedullary ependymomas: Complete resection. In Tumors of the Central Nervous System: Pineal, Pituitary, and Spinal Tumors (Vol. 10, pp. 327-337). Springer Netherlands. https://doi.org/10.1007/978-94-007-5681-6_33