Table 4.
Neurological function Assessment: Pre-surgery vs. Post-surgery comparison
| ID | Age on admission in months | date of surgery | Pathology | Spinal Level | Neurological Status before surgery |
Neurological status at discharge |
|---|---|---|---|---|---|---|
| ID_01 | 6 | 2013 | Low grade astrocytoma WHO grade 1 | C3-C7 | Motor and sensory paraparesis (KG 2/5) | Paraparesis (KG 4/5); able to walk |
| ID_02 | 18 | 2015 | pilocytic astrocytoma WHO grade 1 | Th10-Th12 | Paraparesis affecting the lower extremities (KG 4/5), accompanied by sensory deficits in temperature perception | Complete recovery from the motor loss; persisting sensory deficits |
| ID_03 | 16 | 2018 | atypical meningeoma WHO grade 2 | C3-C5 | Neurogenic voiding and sphincter disorder accompanied by concurrent leg pain | Improvement; able to walk |
| ID_04 | 28 | 2018 | embryonal tumor with multiplane rosettes | L1-L5 | Right-sided sciatica radiating down the right thigh and calf, acute paraplegia (KG 0/5) | Improvement of pain levels, able to walk |
| ID_05 | 19 | 2018 | metastasis of an Ewing sarcoma | Th 7-Th10 | Motor and sensory paraplegia in the lower extremities (KG 0/5) | Paraparesis (KG 3/5) in the lower extremities; able to walk with assistance |
| ID_06 | 1 | 2019 | unmature teratoma | L3-L4 | Pain, Sphincter dysfunction | Improvement of pain levels |
| ID_07 | 1 | 2019 | mature cystic teratoma (G0) | S1-S2 | Motor and sensory paraplegia in the lower extremities (KG 0/5) | Paraparesis in lower extremities (KG 3+/5): able to walk with assistance |
| ID_08 | 15 | 2021 | alveolar rhabdomyosarcoma | Th5-Th6 | Paraparesis in the lower extremities (KG 3/5) | Complete recovery; able to walk |
| ID_09 | 13 | 2021 | Ewing sarcoma | Th6-Th8 | Voiding and sphincter dysfunction accompanied by sensory disorders in both legs | Slight improvement of sensory deficits |
| ID_10 | 6 | 2021 | anaplastic ependymoma WHO grade 3 | Th9-Th10 | Respiratory distress, no deficits | Improvements |
| ID_11 | 25.5 | 2021 | low differentiated neuroblastoma | Th7-Th10 | Voiding disorder; gait disturbance | No change |
| ID_12 | 2 | 2022 | malignant atypical teratoid/rhabdoid tumor, subclass MYC, WHO grade 4 | Th7-L1 | Motor and sensory paraparesis in the lower extremities (KG 2/5) | Paraparesis (KG 4+/5); able to walk |
| ID_13 | 50 | 2023 | vital and mature teratoma | S2-S5 | Motor and sensory paraplegia in the lower extremities, sphincter dysfunction (KG 0/5) | Improvement of paraparesis in lower extremities (KG 2/5): not able to walk |
KG: Kendall grading system for evaluation of muscle strength