Intraoperative Neurophysiological Monitoring for Intradural Extramedullary Spinal Tumours

Published in: Global Spine Journal
Authors: Asfand Baig Mirza; Amisha Vastani; Christoforos Syrris; Timothy Boardman; Imran Ghani; Christopher Murphy; Axumawi Gebreyohanes; Francesco Vergani; Ana Mirallave-Pescador; Jose P. Lavrador; Ahilan Kailaya-Vasan; Gordan Grahovac
Year: 2024
Publication details: 13(3):467
DOI: 10.1177/21925682221139822
Publication type: Journal article
Topic: Intraoperative monitoring, spinal tumour surgery, IDEM tumours, spinal neurosurgery, neurological function


Simple summary

This paper examines the role of intraoperative neurophysiological monitoring during surgery for intradural extramedullary spinal tumours. It is useful for explaining how monitoring may support surgical decision-making when protecting spinal cord and nerve function is a priority.

Mr Kailaya-Vasan’s involvement

Mr Kailaya-Vasan, consultant neurosurgeon and neurovascular surgeon, is listed as a contributing author on this publication.

Published abstract

The following abstract is reproduced from the original publication and is provided for reference. It may include technical terminology intended for clinical or academic audiences.

Study Design: Retrospective cohort study. Objectives: Intraoperative neurophysiological monitoring (IONM) is widely used in spinal neurosurgery, particularly for intramedullary tumours. However, its validity in intradural extramedullary (IDEM) spinal tumours is less clearly defined. Methods: Outcomes were compared for patients undergoing resection of IDEM tumours with and without IONM between 2010 and 2020. Primary outcomes were postoperative American Spinal Injury Association scores. Results: 163 patients were included, 71 in the IONM group and 92 in the non-IONM group. Length of inpatient stay was significantly shorter in the IONM group. Conclusions: Research focusing on IONM in IDEM tumour surgery remains scarce, and this study supports the use of IONM during surgical excision of IDEM tumours.


Disclaimer

This publication page is provided for general information about Mr Kailaya-Vasan’s academic work. It is not medical advice and should not be used to guide individual diagnosis or treatment decisions. Patients should discuss their individual symptoms, diagnosis and treatment options with a specialist.

Previous
Previous

Prognostic factors for surgically managed intramedullary spinal cord tumours: a single-centre case series

Next
Next

Tractography-Enhanced Biopsy of Central Core Motor Eloquent Tumours: A Simulation-Based Study