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. 2007 Jul 28;16(Suppl 2):197–208. doi: 10.1007/s00586-007-0422-y

Table 5.

Detailed description of 24 true positive findings in patients operated on for spine tumors

True positive cases
Patient Region Pathology Surgery Duration (h) IOM modalities IOM-baseline IOM-changes Neurological deterioration Duration Recovery
T.J., m, 55 years e L4-S2 Carcinoma metastasis Decompression, complete tumorexcision 4.8 cmEP, ncEP, in situ stimulation, BCR Pathological cmEP and ncEP Progressive alteration of all cmEP leg right Deterioration of pre-existing radiculopathy L4&5 right Exitus letalis after 2 months No
E.D., f, 50 years e L3&4 Carcinoma metastasis Complete tumorcorpectomy ventral, fusion dorsal 6.5 csEP, cmEP, smEP, ncEP, nsEP, cont EMG All available Progressive deterioration of cmEP and smEP left leg Radiculopathy L4&5 left 5 months Exitus letalis after 8 months
S.F., m, 59 years e L3 Carcinoma metastasis Complete tumorexcision and fusion dorsal 4.2 csEP, cmEP, nsEP All available deterioration of cmEP Proximal weakness of legs 2 days complete
T.W., m, 56 years e C0-C3 Hemangiopericytoma, recurrence Decompression of myelon, partial tumorresection 9.3 csEP, cmEP, ncEP, in situ stimulation All available Alteration of cmEP trapecius muscle left Mild accessory nerve paresis 4 days complete
Z.N., m, 67 years e L1-S1 lipomatosis Decompression and complete excision 4 csEP, cmEP, smEP, nsEP All available Loss of ncEP peroneal nerve left Sensible radiculopathy S1 left 2 weeks complete
B.M., m, 44 years e L4-lumbosacral plexus liposarcoma Complete excision from dorsal 4.3 cmEP, ncEP, in situ stimulation, BCR All available Loss of cmEP TA&AH left, loss of ncEP PN&TN left Ischiadic palsy left 12 h complete
S.S., f, 33 years id-em L2-S3 ependymoma Complete resection from dorsal 7 cmEP, in situ stimulation, ncEP, All available Deterioration of cmEP VM left Quadriceps-paresis left 1 day complete
K.S., f, 26 years id-em S2-S5 gangliopericytoma Complete resection from dorsal 7 cmEP, smEP, ncEP, in situ stimulation, BCR All available Deterioration of cmEP PL left Mild radiculopathy L5 left 1 day complete
E.P., m, 72 years id-em L3 neurinoma Complete excision from dorsal 2.8 cmEP, ncEP All available Deterioration of PN and FN sensory EP left Mild radiculopathy L4 left 2 days complete
S.R., f, 56 years im C0-T1 Congenital tumor with ACM I and Syrinx Decompression dorsal 3.8 csEP, cmEP, ncEP All available Deterioration of ncEP MN left Numbness left arm 1 hour complete
C.Y., m, 43 years im L1-S2 ependymoma Excision complete from dorsal 7.6 csEP, cmEP, ssEP, nsEP, ncEP, in situ Stimulation, cont EMG, BCR All available, but pathologic alteration of cmEP leg right Weakness right leg 6 hours complete
K.A., m, 36 years im L3-S1 ependymoma Complete excision from dorsal 7.5 cmEP, smEP, nsEP, BCR, All available, but all pathologic Alteration of cmEP left leg and loss of BCR right Weakness left leg 2 months complete
D.M., m, 38 years im T10&11 Lipofibroma Partial excision from dorsal 6 csEP, cmEP, smEP, ssEP, nsEP, ncEP, in situ stimulation All available, but pathologic Alteration of cmEP TA and AH right>left Radiculopathy L5 und S1 right > left 6 months Recovery to pre-existing deficits
F.N., f, 27 years e T1-T3 Aneurysmatic cyst Complete tumorvertebrectomy and fusion dorsal 5 csEP, cmEP, ncEP, nsEP, cont EMG All available Complete loss of all cmEP after columnotomy. paraplegia 4 hrs Complete
F.M., f, 66 years id-em T12-L1 Meningeoma recurrence Complete tumorexcision from dorsal 3.8 csEP, smEP, nsEP, ncEP, in situ stimulation All available Deterioration of cmEP and ncEP left leg Mild deterioration of pre-existing paraparesis 2 weeks Complete to pre-existing deficits
S.B., f, 48 years id-em T7&8 Chronic leptomeningitis Partial resection from dorsal 3.3 csEP, cmEP, ssEP, nsEP All available Deterioration of all motor and sensory EP Mild deterioration of paraparesis 3 weeks complete
G.M., f, 54 years id-em C3-C5 meningeoma Complete resection from dorsal 7.8 csEP, cmEP, nsEP, ncEP All available, but severly pathologic Deterioration of sensory and motor EP left Deterioration of pre-existing spasticity and ataxia 3 months complete
P.M., f, 53 years im C0-T2 Congenital tumor with ACM I and Syrinx Decompression C0-C2 4.5 cmEP, ncEP All available, but pathological Deterioration of ncEP MN bds Deterioration of ataxia 3 weeks after ventriculoperitoneal shunt implantation Recovery to pre-existent deficits
S.H., f, 22 years im C0-T4 Congenital tumor with ACM I and Syrinx Decompression from dorsal 4.3 csEP, cmEP, nsEP, ncEP All available Loss of ncEP MN left and alteration of ncEP TN left Hemiataxia left 1 month complete
R.P., m, 51 years im C0-T12 Congenital tumor with ACM I and Syrinx Decompression dorsal (Shunt) 2.8 cmEP, ncEP All available, but pathological Deterioration of ncEP TN and MN left Hemiataxia left 3 months complete
S.I., f, 80 years im C1-C5 ependymoma Complete excision from dorsal 5.3 csEP, cmEP, ssEP, nsEP, ncEP, cont EMG All available, but strongly pathologic Loss of ncEP MN and cmEP BR bilateral and cmEP ADM left Sensomotor tetraparesis right > left 6 months Recovery to pre-existing deficits
S.E., f, 87 years im C5-T1 ependymoma Partial resection from dorsal 5 csEP, cmEP, smEP, ssEP, nsEP, ncEP All available, but pathologic Alteration of all motor EP Mild increase of spasticity 3 weeks Recovery to pre-existing deficits
F.Pl., m, 56 years im C3-C5 neurinoma Complete resection from dorsal 5 csEP, cmEP, ncEP All available, but pathologic Loss of ncEP MN right, reduction of ncEP MN left Increased ataxia right > left 4 months Recovery to pre-existing deficits
M.L., m, 44 years id-em S1-lumbosacral plexus ganglioneuroma Decompression and complete excision, dorsoventral 12.3 cmEP, ncEP, in situ stimulation All available Loss of BCR and BAR right, ncEP TN right Partial sphincter palsy 3 months complete