Lower urinary tract dysfunctions in patients with spinal cord tumors

Uchiyama, Tomoyuki; Sakakibara, Ryuji; Hattori, Takamichi; Yamanishi, Tomonori

doi:10.1002/nau.10070

Cited by 20 publications

(10 citation statements)

References 27 publications

(42 reference statements)

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“…reported as many as 58% of the patients with conus tumors, having urinary symptoms and detrusor areflexia detected by urodynamics. [4] This was also evident in our patient and it helped to quantify the preoperative deficit and in prognosticating future sphincteric control. It is essential to predict the pathology before surgery in eloquent areas like the conus, so as to minimize neural tissue handling in cases of benign tumors, and to achieve maximal resection with least postoperative morbidity.…”

supporting

confidence: 52%

Rare tumor of conus medullaris in an adult with a favorable outcome

Kumar

Shah

Gupta

2012

J Surg Tech Case Report

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supporting

confidence: 52%

Rare tumor of conus medullaris in an adult with a favorable outcome

Kumar

Shah

Gupta

2012

J Surg Tech Case Report

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“…As a rule, the clinical history is marked by initial symptoms that may be nonspecific and are often underestimated (hypesthesia, paresthesia, and sensory deficits), 2,6,13,28,31,33,35,37 whereas in the second stage, the neurological pattern worsens swiftly (pain, sensory and motor disorders, paraplegia, tetraplegia, and sphincter disturbances). In our series we found 3 cases of CNS dissemination of the malignancy: 1 intramedullary and 2 intracerebral.…”

Section: Discussionmentioning

confidence: 99%

High-grade intramedullary astrocytomas: 30 years' experience at the Neurosurgery Department of the University of Rome “Sapienza”

Raco

Piccirilli

Landi

et al. 2010

SPI

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ObjectThe goal in this study was to review a series of patients who underwent surgical removal of intramedullary high-grade gliomas, focusing on the functional outcome, recurrence rates, and technical problems continually debated in neurosurgical practice.MethodsBetween December 1976 and December 2006, 22 patients underwent removal of intramedullary high-grade gliomas. Lesions were located in the cervical spinal cord in 12 patients, and in the thoracic cord in 10.Results. Histological examinations showed 10 Grade III astrocytomas and 12 glioblastomas. Only 2 of the 22 high-grade astrocytomas could be completely removed. The clinical postoperative status worsened in 14 patients (63.6%), was unchanged in 7 patients (31.8%), and there was 1 case of intraoperative death (4.5%). None of the 22 patients showed improvement in their neurological status postoperatively. In this series, excluding the 1 intraoperative death, all patients died of progression of the malignancy.ConclusionsSurgical treatment did not ameliorate the postoperative neurological status; instead, in the majority of cases, it prompted a worsening of the deficit. Radiotherapy and chemotherapy have a little influence on the length of survival. In this series, multimodality treatment of intramedullary high-grade astrocytomas has been shown to increase length of survival without improving the neurological status.

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“…In addition, bladder and bowel dysfunction (61.9%) were also common. Uchiyama et al reported that 58% of patients with epiconus/conus medullaris tumors had voiding symptoms and especially, decreased urge to void, detrusor-sphinter dyssynergia and detrusor areflexia on voiding were the main symptom on urodynamic study 21) . Urinary symptoms may be the sole initial symptoms, but urinary A B C dysfunction tends to appear later.…”

Section: Discussionmentioning

confidence: 99%