title: [Treatment of multisegmental intramedullary cervical spinal cord ependymomas].
abstract: OBJECTIVE
  To discuss the possibility of microneurosurgery techniques in the treatment of multisegmental intramedullary cervical spinal cord ependymomas.
  
  
  METHODS
  The clinical data of 26 cases of multisegmental intramedullary cervical spinal cord ependymomas patients was reviewed and analyzed.
  
  
  RESULTS
  There were 14 cases of cervical spinal cord ependymomas, 12 cases of cervical and thoracic spinal cord ependymomas. 4.5 spinal cord segments were involved in average. Incompletely inferior paraplegia was in 18 cases, incompletely high paraplegia in 8 cases, dyspnea in 6 cases, sphincter dysfunction in 10 cases. MRI detected syringomyelia formation in 24 cases. Vertebral lamina reposition were done in 20 cases. Muscle strength recovered in 21 cases, no change in 4 cases, aggravated in 1 case. All cases had total resection and 1 cases vertebral had instability in MRI.
  
  
  CONCLUSIONS
  Total resection of intramedullary cervical spinal cord ependymomas can be achieved by microneurosurgery. Most of the symptoms can be released after microsurgical treatment. After multisegmental laminotomy, the vertebral plate reposition should be done to ensure the stability.
authors: Department of Neurosurgery, Beijing Hospital, Beijing 100730, China. yym5182002@yahoo.com.cn
authors: Yu-ming
authors: YM
authors: Yang
authors: Hong-zhi
authors: HZ
authors: Jiang
authors: Cheng
authors: C
authors: Sha
authors: Qing-guo
authors: QG
authors: Yuan
authors: Chang-chun
authors: CC
authors: Wang
authors: Hong-wen
authors: HW
authors: Xie
authors: Kun
authors: K
authors: Zhou
authors: Da-ming
authors: DM
authors: Wang
mesh_terms: D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae; D004806:Ependymoma / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D012189:Retrospective Studies; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D016896:Treatment Outcome