Karliychuk O. Diagnostics and treatment of cauda equina ependymomas

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0409U003156

Applicant for

Specialization

  • 14.01.05 - Нейрохірургія

09-06-2009

Specialized Academic Board

Д 26.557.01

The State institution "Romodanov neurosurgery institute, National academy of medical sciences of Ukraine"

Essay

The dissertation is devoted to results of surgical treatment improvement at patients with cauda equina ependymomas by means of modern diagnostics techniques, differentative appliance of advanced surgical technics with consideration of ependymomas histological variants and anatomo-topical location.The obtained clinical data are based on results of 74 patients with cauda equina ependymomas.The histological peculiarities degrees of anaplasia of cauda equina ependymomas have been studied. Grade I has been investigated at 33 (45%) patients with myxopapillary histological variant of ependymoma, intramedullary variant of the tumor was diagnosed at 11 (15%) patients, papillary variant - at 5 (7%) cases (grade II), tumors of the III grade of anaplasia were at 25 (34%) patients with anaplastic variant of ependymoma.The rationale tactics of cauda equina and filum terminale ependymomas diagnostics and treatment have been defined. The interdependence of surgical treatment outcomes and tumor anaplasia grade and the excision radicality was studied.

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