Introduction: Craniocervical tumors are uncommon but represent a medical emergency for diagnosis and treatment. Their approaches require of course surgical expertise in addition to adapted technical platform. In light of the limited resources available in our practice, we consequently made the decision to share our experience with the surgical treatment of this pathology. Patients and method: We performed a retrospective analysis on eight observations of patients treated in the neurosurgery department of “Hôpital Principal de Dakar” between July 2015 and December 2022 for progressive tumor spinal cord compression at the craniocervical junction. Results: We observed a 10% frequency, a mean age of 39.25 years, and extremes between 8 and 62 years. There was a 0.6 sex ratio. The most common risk factor was type I neurofibromatosis, and one case of Von Hippel-Lindau disease. All of our patients had pyramidal syndrome. Overall, there were 2 tumors with posterolateral extradural site and 4 tumors with extramedullary intradural location, including 2 posterolateral and 2 anterolateral. The location was intramedullary and cerebella-medullary in one case each. The posteromedial occipitocervical approach, which was employed on six patients, was the most utilized method. Five patients had total tumor resection, whereas three had partial resection. Two of our patients had postoperative complications: a worsening of motor deficit and a death following dependence on mechanical ventilation. We only received four histological confirmations for the anatomopathological samples. Our patients' evolution was positive over an average follow-up of 21 months, with neurological improvement and walking autonomy. Conclusion: Tumors affecting the craniocervical junction are still treated surgically. Despite the need for improvement in our working conditions, our results appear to be satisfactory.
| Published in | International Journal of Neurosurgery (Volume 8, Issue 2) |
| DOI | 10.11648/j.ijn.20240802.12 |
| Page(s) | 28-34 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Tumor, Craniocervical Junction, Spinal Cord Compression, “Hôpital Principal de Dakar”
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APA Style
Diop, S., Basse, A. S., Diallo, S., Tine, I., Thioub, M., et al. (2024). Surgical Treatment of Craniocervical Junction Tumors: Neurosurgery Department Experience of “Hôpital Principal De Dakar”. International Journal of Neurosurgery, 8(2), 28-34. https://doi.org/10.11648/j.ijn.20240802.12
ACS Style
Diop, S.; Basse, A. S.; Diallo, S.; Tine, I.; Thioub, M., et al. Surgical Treatment of Craniocervical Junction Tumors: Neurosurgery Department Experience of “Hôpital Principal De Dakar”. Int. J. Neurosurg. 2024, 8(2), 28-34. doi: 10.11648/j.ijn.20240802.12
AMA Style
Diop S, Basse AS, Diallo S, Tine I, Thioub M, et al. Surgical Treatment of Craniocervical Junction Tumors: Neurosurgery Department Experience of “Hôpital Principal De Dakar”. Int J Neurosurg. 2024;8(2):28-34. doi: 10.11648/j.ijn.20240802.12
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Download@article{10.11648/j.ijn.20240802.12,
author = {Sagar Diop and Ababacar Sall Basse and Souleymane Diallo and Ibrahima Tine and Mbaye Thioub and Abdou Azize Diop},
title = {Surgical Treatment of Craniocervical Junction Tumors: Neurosurgery Department Experience of “Hôpital Principal De Dakar”
},
journal = {International Journal of Neurosurgery},
volume = {8},
number = {2},
pages = {28-34},
doi = {10.11648/j.ijn.20240802.12},
url = {https://doi.org/10.11648/j.ijn.20240802.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240802.12},
abstract = {Introduction: Craniocervical tumors are uncommon but represent a medical emergency for diagnosis and treatment. Their approaches require of course surgical expertise in addition to adapted technical platform. In light of the limited resources available in our practice, we consequently made the decision to share our experience with the surgical treatment of this pathology. Patients and method: We performed a retrospective analysis on eight observations of patients treated in the neurosurgery department of “Hôpital Principal de Dakar” between July 2015 and December 2022 for progressive tumor spinal cord compression at the craniocervical junction. Results: We observed a 10% frequency, a mean age of 39.25 years, and extremes between 8 and 62 years. There was a 0.6 sex ratio. The most common risk factor was type I neurofibromatosis, and one case of Von Hippel-Lindau disease. All of our patients had pyramidal syndrome. Overall, there were 2 tumors with posterolateral extradural site and 4 tumors with extramedullary intradural location, including 2 posterolateral and 2 anterolateral. The location was intramedullary and cerebella-medullary in one case each. The posteromedial occipitocervical approach, which was employed on six patients, was the most utilized method. Five patients had total tumor resection, whereas three had partial resection. Two of our patients had postoperative complications: a worsening of motor deficit and a death following dependence on mechanical ventilation. We only received four histological confirmations for the anatomopathological samples. Our patients' evolution was positive over an average follow-up of 21 months, with neurological improvement and walking autonomy. Conclusion: Tumors affecting the craniocervical junction are still treated surgically. Despite the need for improvement in our working conditions, our results appear to be satisfactory.
},
year = {2024}
}
TY - JOUR T1 - Surgical Treatment of Craniocervical Junction Tumors: Neurosurgery Department Experience of “Hôpital Principal De Dakar” AU - Sagar Diop AU - Ababacar Sall Basse AU - Souleymane Diallo AU - Ibrahima Tine AU - Mbaye Thioub AU - Abdou Azize Diop Y1 - 2024/09/23 PY - 2024 N1 - https://doi.org/10.11648/j.ijn.20240802.12 DO - 10.11648/j.ijn.20240802.12 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 28 EP - 34 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20240802.12 AB - Introduction: Craniocervical tumors are uncommon but represent a medical emergency for diagnosis and treatment. Their approaches require of course surgical expertise in addition to adapted technical platform. In light of the limited resources available in our practice, we consequently made the decision to share our experience with the surgical treatment of this pathology. Patients and method: We performed a retrospective analysis on eight observations of patients treated in the neurosurgery department of “Hôpital Principal de Dakar” between July 2015 and December 2022 for progressive tumor spinal cord compression at the craniocervical junction. Results: We observed a 10% frequency, a mean age of 39.25 years, and extremes between 8 and 62 years. There was a 0.6 sex ratio. The most common risk factor was type I neurofibromatosis, and one case of Von Hippel-Lindau disease. All of our patients had pyramidal syndrome. Overall, there were 2 tumors with posterolateral extradural site and 4 tumors with extramedullary intradural location, including 2 posterolateral and 2 anterolateral. The location was intramedullary and cerebella-medullary in one case each. The posteromedial occipitocervical approach, which was employed on six patients, was the most utilized method. Five patients had total tumor resection, whereas three had partial resection. Two of our patients had postoperative complications: a worsening of motor deficit and a death following dependence on mechanical ventilation. We only received four histological confirmations for the anatomopathological samples. Our patients' evolution was positive over an average follow-up of 21 months, with neurological improvement and walking autonomy. Conclusion: Tumors affecting the craniocervical junction are still treated surgically. Despite the need for improvement in our working conditions, our results appear to be satisfactory. VL - 8 IS - 2 ER -
Neurosurgery Department, Hôpital Principal de Dakar, Dakar, Senegal
Neurosurgery Department, Hôpital Principal de Dakar, Dakar, Senegal
Neurosurgery Department, Hôpital Principal de Dakar, Dakar, Senegal
Neurosurgery Department, Hôpital Principal de Dakar, Dakar, Senegal
Neurosurgery Department, Hôpital Principal de Dakar, Dakar, Senegal
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