Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Surgical Treatment of Foramen Magnum & High Cervical Spinal Cord Tumor

대공부와 상위경추부 종양에 대한 수술적 치료

  • Yoon, Do Heum (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Oh, Sung Han (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Cho, Young Eun (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Jin, Byung Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Jin, Dong Kyu (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Kim, Young Soo (Department of Neurosurgery, Yonsei University College of Medicine)
  • 윤도흠 (연세대학교 의과대학 신경외과학교실) ;
  • 오성한 (연세대학교 의과대학 신경외과학교실) ;
  • 조용은 (연세대학교 의과대학 신경외과학교실) ;
  • 진병호 (연세대학교 의과대학 신경외과학교실) ;
  • 진동규 (연세대학교 의과대학 신경외과학교실) ;
  • 김영수 (연세대학교 의과대학 신경외과학교실)
  • Received : 2000.10.19
  • Accepted : 2001.03.03
  • Published : 2001.04.28
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Abstract

Objective : The authors reviewed 51 patients of spinal cord tumor located at the craniovertebral junction and high cervical area to determine which factors influenced resectability, complications, and postoperative outcomes. Methods : Radiological examinations, clinical data, and operation notes were evaluated, and additional follow-up information was obtained from outpatient examinations. The mean follow-up period was 3.5 years Results : The most common neurological findings were motor deficit(72.5%) and sensory change(47.1%). There was no clinical finding that is considered as pathognomic. Meningioma(18 cases, 35.3%) was the most common tumor in this region. Total removal was achieved in 45 patients. There was no surgical mortality. Immediate postoperative motor weakness were encounted in 11 cases(21.6%) which improved in long term followup except two patients. Conclusions : The location and relationship of the tumor to surrounding struncture determine its resectability. Postoperative results were related to the preoperative neurological status and pathological findings.

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