What is the best procedure to operate a cavernous hemangioma of spinal cord?
Four months ago my Mom presented numbness of the lower limbs. She is 57 years old. A month ago a MRI showed a epidural compression of the spinal cord. The next daytime a T4-T5 laminectomy was done and we found a cavernous hemangioma tumor. This tumor is also present at T1 and at T9. With the laminectomy only about 60% of the tumor be removed because the rest of it was sorrounding the spinal cord, by the posterior mediastinum. She walks with some difficulty. Most of the time she stays seated or on the bed. She does get through not too much. Three weeks after the laminectomy a MRI revealed the elimination of the cord compression. She's feeling better, but she still feels compression between the chest and the stomach. She wishes the rest of the tumor to be removed. We've had several suggestions to operate such as injection of absolute ethanol, 3D irradiation, sclerotherapy with polidocanol and surgery. I would resembling to know the best procedure and where it could be performed best. Thanks a lot
Answers: I don't focus you can get a proper answer here. The decision making process must be done in collaboration beside the surgeon who will perform the procedure. He/she will have access to all of the examination results and imaging studies that were performed as well as the entire tolerant history and physical exam. When deciding between different procedures you need to know the benefits and risks of each procedure, the differences between respectively procedure, the success rate, how many times the surgeon has perform each procedure and what his/her success rate is, the prognosis after each procedure etc. This is without a doubt a complicated issue which needs to be thoroughly discussed with a professional.
Best of luck to your mom and in making the right edict for her.
Ouch, I'll let all the neural physiologists and the neurosurgeons here answer this one.
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Answers: I don't focus you can get a proper answer here. The decision making process must be done in collaboration beside the surgeon who will perform the procedure. He/she will have access to all of the examination results and imaging studies that were performed as well as the entire tolerant history and physical exam. When deciding between different procedures you need to know the benefits and risks of each procedure, the differences between respectively procedure, the success rate, how many times the surgeon has perform each procedure and what his/her success rate is, the prognosis after each procedure etc. This is without a doubt a complicated issue which needs to be thoroughly discussed with a professional.
Best of luck to your mom and in making the right edict for her.
Ouch, I'll let all the neural physiologists and the neurosurgeons here answer this one.
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