CSF( الشوكي النخاعي السائل تسرب عالج دراسة األهداف: باستخدام التنكسية القطني الفقري العمود جراحة بعد يتطور الذي .)SDC( الفخذ حتت والتقطيع التصريف تقنية لـ الطبية السجالت رجعي بأثر الدراسة هذه استعرضت املنهجية: ملرض اجلراحة بعد املنشأ عالجي CSF تسريب طوروا ً مريضا 46 عالج مت 9102م. إلى 7002م من القطني التنكسي الفقري العمود حني في ، )SDC (مجموعة SDC إجراء باستخدام ا مريضً 25 بني النتائج مقارنة ومتت الضبط). (مجموعة ا مريضً 21 يعالج لم املجموعتني. )7.4±1 (متوسط أيام 9-6 خالل CSF تسرب توقف النتائج: التحكم مت ، الضابطة املجموعة في .SDC مجموعة في اإلجراء بعد 7 وفي ، ا مريضً 14 في محافظة تدابير خالل من CSF تسرب في مت ، 7 الـ هؤالء بني من قطني. خارجي تصريف إجراء مت مرضى، اخلارجي التصريف طريق عن النخاعي السائل تسرب في التحكم Objectives: To investigate the treatment of iatrogenic cerebrospinal fluid )CSF( leak that develops after degenerative lumbar spinal surgery with a subfascial drainage and clipping )SDC( technique. Methods: This study retrospectively reviewed the medical records of 46 patients who developed iatrogenic CSF leak after surgery for lumbar degenerative spine disease from 2007 to 2019. Twenty-five patients were treated with the SDC Original Articles procedure )SDC group(, whereas 21 were not )control group(. Outcomes were compared between the two groups.
Literature review. In this study, we evaluated a case of primary spinal oligodendroglioma (PSO) with a rare localization between L3 and S2, and also examined sixty cases in the literature in terms of demographic characteristics, clinical, radiological, and histopathological characteristics, and treatment planning. A case of PSO has been presented, and the relevant literature between 1931 and 2016 was reviewed. A total of 57 papers regarding PSO were found and utilized in this review. The main treatment options include radical surgical excision with neuromonitoring, followed by radiotherapy. Despite these treatment protocols, the relapse rate is high, and treatment does not significantly prolong survival. Oligodendrogliomas are rare among the primary spinal cord tumors. Oligodendrogliomas are predominantly found in the cervical spinal cord, thoracic spinal cord, or junctions during childhood and adulthood. Extension to the sacral region, inferior to the Conus, is very rare. Furthermore, of the sixty cases in the literature, the case we present here is the first to be reported in this particular age group. These localizations usually occur in the pediatric age group and after relapses. While for a limited number of cases the oligodendroglioma initiates in the thoracic region and reaches as far as L2, we encountered a case of an oligodendroglioma within the range of L3 to S2. Clinical findings are observed in accordance with location, and magnetic resonance imaging is the gold standard for diagnosis.
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