Diagnosis and Management of Intradural Extramedullary Tumor: Multiple Case Series and Literature Review

Abstract

Background: Almost 60% of all spinal tumors are spinal intradural extramedullary (IDEM) neoplasms. The most common symptoms of these tumors are pain and neurological deficits. Until recently, the treatment of choice is still tumor resection microsurgically. The study aims to present of diagnosis and management of IDEM in Hasan Sadikin Hospital, Bandung, Indonesia, and to outline the current diagnosis and management of IDEM tumors commonly performed. Methods: This study was a retrospective descriptive study using medical records to identify and describe cases of IDEM tumors in Hasan Sadikin Hospital. A total of seven IDEM tumor cases from January 2019 to April 2021 were identified. Data collected included demographics, diagnosis, and management. Results: Most cases of IDEM tumors in our study were seen in women >40 years of age (n = 5). The age range of patients at diagnosis is between 25 and 68 years. The management carried out is tumor resection through laminectomy with (n = 5) or without (n = 2) posterior stabilization. Conclusion: The proper diagnosis and treatment are required in improving a patient’s life quality. Magnetic resonance imaging is the gold standard for radiological examination, and for management of choice is gross-total removal of the tumor.