ABSTRACT

Background: The spinalepidural space, covering the dural sac, is located along the posterior longitudinal ligament anteriorly, the ligamentum flavum and the periosteum of laminae posteriorly, and the pedicles of the spinal column by the intervertebral foramina containing their neural elements laterally. It could be affected variably by different types of diseases, either as primary lesions or as an extension from a disease process in the nearby tissues and organs. Patients and Methods: We reported a one-year surgical experience in managing 44 patients with different types of epidural spinal masses, presented at the department of Neurosurgery in Kasralainy Medical School Teaching Hospitals, Cairo, Egypt, regarding motor deficits, sensory deficits, bowel and bladder dysfunction. Results: All candidates showed marked improvement regarding to pain, 64% showed motor power improvement, while only 14% of patients did not show sensory improvement. Challenging case studies have been reported. Conclusion: Surgical interventions have improved the quality of life for our patients with spinal epidural masses. Keywords: Spinal epidural mass, microsurgical resection, Neurosurgery, functional Outcome

https://ijbpas.com/pdf/2019/July/MS_IJBPAS_2019_4738.pdf

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https://doi.org/10.31032/IJBPAS/2019/8.7.4738