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Acta clinica Croatica, Vol. 59. No. 3., 2020.

Review article

https://doi.org/10.20471/acc.2020.59.03.15

Microsurgical Management of Low-Grade Spinal Cord Astrocytoma in Adults: a Personal Case Series Report and Brief Literature Review

Mirza Pojskić ; Department of Neurosurgery, University of Marburg, Marburg, Germany; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Krešimir Rotim ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Bruno Splavski ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Kenan I. Arnautović ; Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States

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Abstract

Astrocytoma is the second most common intramedullary tumor of predominantly low-grade malignancy in adult patients. Adult astrocytomas have better-quality prognosis compared with astrocytomas in children. Although a standardized surgical management protocol for spinal cord glioma is currently unavailable, surgery of low-grade astrocytoma should be aimed at gross total resection to preserve neurological function and to improve the outcome. Herein, we present a personal case series of four consecutive adult spinal cord astrocytoma patients who were operated on during the last few years. Tumor resection was performed in all patients utilizing microsurgical technique and intraoperative neurophysiologic monitoring. We also provide a literature review of the treatment of intramedullary astrocytoma in adults and discuss contemporary surgical management and prognosis.

Keywords

Intramedullary tumor; Low-grade astrocytoma; Microsurgical management

Hrčak ID:

247504

URI

https://hrcak.srce.hr/247504

Publication date:

1.9.2020.

Article data in other languages: croatian

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