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48.Analysis of Intramedullary Tumors; Experience at Tertiary Care Hospital
Naeem ul Haq1, Warda Naeem Khan2, Syed Nasir Shah1 and Musawer Khan1
ABSTRACT
Objective: This 6-year comprehensive study investigated the incidence, etiology, pathological characteristics, and diagnostic modalities of IMSCTs in an effort to advance our comprehension of these tumors.
Study Design: Cross-sectional observational study.
Place and Duration of Study: This study was conducted at the Department of Neurosurgery of Mardan Medical Complex, Mardan from January 2017 and February 2023.
Materials and Methods: In which demographic information, clinical presentations, medical histories, and radiological findings of 48 patients diagnosed with IMSCTs were analyzed.
Results: The findings demonstrated that IMSCT patients have a diverse age distribution. The preponderance of patients (56.25%) was older than 40 years of age, indicating a higher prevalence among older individuals. The vast majority of patients suffered from pain (81%), motor impairments (78%), sensory disturbances (85%), neurological deficits (80%), and paresthesia (63%). In evaluating and diagnosing IMSCTs, advanced imaging techniques, particularly magnetic resonance imaging (MRI), performed a crucial role. Location, size, and structure of the tumor were revealed by MRI scans, among other tumor characteristics. The prevalence of IMSCTs was highest in thoracic region (60.41%), followed by lumbar region (25.0%), cervical region (10.41%), and lumbosacral region (4.16%). Histopathological analysis revealed that ependymoma (41.7%) and astrocytoma (31.3%) are the most common subtypes of tumor.
Conclusion: This exhaustive study provided valuable insights into the incidence, clinical manifestations, imaging characteristics, and treatment considerations associated with IMSCTs.
Key Words: Diagnostic modalities; MRI; Spinal cord tumors; Tumor location; Tumor subtypes.