Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
SURGICAL-TREATMENT SUPPOSED NATURAL-HISTORY OF THE TETHERED CORD WITHOCCULT SPINAL DYSRAPHISM
Autore:
KOYANAGI I; IWASAKI Y; HIDA K; ABE H; ISU T; AKINO M;
Indirizzi:
HOKKAIDO NEUROSURG MEM HOSP,CHUO KU,NORTH 22,WEST 15 SAPPORO HOKKAIDO060 JAPAN HOKKAIDO UNIV,SCH MED,DEPT NEUROSURG SAPPORO HOKKAIDO 060 JAPAN
Titolo Testata:
Child's nervous system
fascicolo: 5, volume: 13, anno: 1997,
pagine: 268 - 274
SICI:
0256-7040(1997)13:5<268:SSNOTT>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
LIPOMAS; MANAGEMENT; LIPOMYELOMENINGOCELE; CHILDHOOD; CHILDREN;
Keywords:
OCCULT SPINAL DYSRAPHISM; TETHERED CORD; LUMBOSACRAL LIPOMA; TIGHT FILUM TERMINALE; SURGICAL TREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
I. Koyanagi et al., "SURGICAL-TREATMENT SUPPOSED NATURAL-HISTORY OF THE TETHERED CORD WITHOCCULT SPINAL DYSRAPHISM", Child's nervous system, 13(5), 1997, pp. 268-274

Abstract

We retrospectively evaluated the pre- and postoperative course of 34 tethered cord patients with occult spinal dysraphism in an attempt to infer the natural history of this disorder and to determine the effectiveness of the surgical treatment. There were 32 cases with lumbosacral lipoma and 2 with tight filum terminale. The age at surgery ranged from 1 month to 47 years old. Eight patients, aged 1 month to 4 years old, were asymptomatic; 26 had neurogenic bladder (26 cases) or motor problems affecting the legs (8 cases). None of the patients older than 5 years of age were asymptomatic. Untethering of the spinal cord was performed in all cases. The postoperative follow-up period ranged from 5 months to 11 years. During these periods, 7 (88%) of the 8 asymptomatic patients remained neurologically intact, 6 (23%) of the 26 symptomatic patients showed improved symptoms, and 15 patients (58%) remainedunchanged. These results indicate that the neurological symptoms willappear progressively in the tethered cord patients, and that prophylactic surgery should be considered as early as possible.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 21:14:44