Removal of Extramedullary Benign Spinal Cord Tumours
In 1887 at the National Hospital for the Paralyzed Epileptic, Queen Square, London, Sir Victor Horsley performed a laminectomy on an army officer with extensor spastic paraplegia. The patient had been treated by Sir William Gowers4, who had diagnosed a spinal cord tumour and advised surgery. In the event no tumour was found and the operation was about to be concluded when Mr. Charles Ballance, who was assisting, urged Horsley to extend the laminectomy to a higher level. On removal of another lamina, a clearly circumscribed tumour was found and removed. For the first time in the history of medicine a patient operated on for a spinal cord tumour recovered from the operation completely and gradually resumed his previous occupation.
KeywordsNerve Root Dura Mater Spinous Process Spinal Cord Tumour Intervertebral Foramen
Unable to display preview. Download preview PDF.
- 1.Cantors, G. P., Guidetti, B., 1969: Dura mater treated with gamma-rays for dural plastic surgery. Fourth international congress of neurological surgery, New York-. September 20–27. Excerpta medica, international congress series n. 193.Google Scholar
- 2.Elsberg, C. A., 1925: Tumours of the spinal cord and compression of the spinal cord and nerve roots. Pathology, symptomatology, diagnosis and treatment. New York: P. B. Hoeber.Google Scholar
- 3.Frugoni, P., 1956: Trattamento chirurgico dei tumori del midollo. Chirurgia 11, 131–149.Google Scholar
- 4.Gowers, W. R., Horsley, V. A., 1888: A case of tumour of the spinal cord removal. Recovery. Med. chir. tr. 53, 243–246.Google Scholar
- 5.Guidetti, B., Fortuna, A., Moscatelli, G., Riccio, A., 1964: I tumori intramidollari. Il lavoro neuropsichiatrico 35, 1–409.Google Scholar
- 6.Guidetti, B., Fortuna, A. (in press): Differential diagnosis of extramedullary and intramedullary tumours. Handbook of clinical neurology, Ed. Vinken, P. J., and Bruyer, G. W., vol. XIX. Amsterdam: North-Holland Publishing Company, and New York: American Elsevier Publishing Co.Google Scholar
- 7.Kempe, L. G., 1970: Operative neurosurgery, vol. 2, posterior fossa, spinal cord, and peripheral nerve disease. Berlin -Heidelberg-New York: Springer.Google Scholar
- 8.Nittner, K., 1972: Raumbeengende Prowess im. Spinalkanal. Handbuch der Neurochirurgie. Berlin-Heidelberg-New York: Springer.Google Scholar
- 9.Poppen, J. L., 1960: An atlas of neurosurgical techniques. Philadelphia and London: W. B. Saunders Company.Google Scholar
- 10.Walker, A. E., 1951: A history of neurological surgery. Baltimore: The Williams & Wilkins Company.Google Scholar