THE RESULT OF SURGICAL TREATMENT OF A LONG INTRAMEDULLARY SPINAL CORD TUMOR WITH SYRINGOMYELIA
Abstract
A case of hospitalization of a 31-year-old patient due to pain in the lower back and thoracic spine, extending to the anterior surface of the thigh and accompanied by a lack of movement and sensitivity in the lower extremities, impaired pelvic organ function in the form of urinary incontinence and decreased libido is presented. Magnetic resonance imaging revealed an intradural-intramedullary long tumor at the level of VTh2-VTh3-VTh4-VTh5 vertebrae, with pronounced uneven expansion of the central canal of the spinal cord - syringomyelia throughout above and below the formation, uneven atrophy of the spinal cord substance. The patient underwent surgery to remove the tumor. Postoperative pathoanatomic examination confirmed the presumed histological diagnosis - astroependymoma. In the postoperative period, there was a partial recovery of motor and complete restoration of sensitive limb functions, regression of neurological deficit. On a repeated MRI gram 1 month after the operation, a total regression of syringomyelia above and below the levels of the removed tumor was determined.