Pediatric spinal cord biopsy: A case series from a high-volume referral center

作者: Michael Kakareka , Ryan Moncman , Joseph Georges , Steven Yocom , Philip B. Storm

DOI: 10.1016/J.JOCN.2019.04.013

关键词:

摘要: Abstract Pediatric patients presenting with intramedullary spinal cord lesions often require specific diagnoses to guide their treatment plans. Though results from magnetic resonance imaging and lumbar puncture may narrow the differential diagnosis, these tests cannot always provide a definitive diagnosis. In such cases, biopsy be undertaken histopathologic diagnosis for guiding treatment. Data adult population show 24% of biopsies can nondiagnostic procedure carry 21% complication rate. Therefore, portend similar high risk-to-benefit ratio in pediatric population. Here, we review cases scheduled not debulking, at volume referral center during seventeen-year period. We report our experience five who met inclusion criteria. Due rarity procedure, statistically significant factors associated improved diagnostic yield or peri-operative could identified. A which guided post-operative plan was obtained four patients. None developed motor deficits. However, were susceptible same risks open spine surgery, as wound infections deformities. Our case series shows that tissue obtaining histopatholgic diagnoses. potential complication, possibility tissue, should discussed patients, families medical teams.

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