SPINAL CORD TUMORS IN CHILDREN

Abstract

The case histories of 30 children (15 years of age and under) with spinal cord tumors have been analyzed. There was no significant age or sex distribution. A third of the tumors were intramedullary and a half were extradural. The lesions were largely in the thoracic cord. Symptoms averaged 1½ years in duration prior to diagnosis, with shorter histories for malignant extradural tumors. The principal symptoms were abnormality of gait and pain. The principal signs were leg weakness, reflex changes and sensory deficits. The most important diagnostic aids were plain roentgenograms, lumbar puncture and myelography. Twenty-seven of the thirty tumors were confirmed at laminectomy. X-ray therapy was given to 20 patients. Fifty per cent of the patients have done well. Prognosis is poor in those with neuroblastoma or sarcoma and in those developing intracranial extension. To avoid delay in the management of children with seemingly bizarre neurologic and other symptoms and signs, an awareness of the possible presence of a spinal cord tumor is essential. Once this is accomplished, further tests should make it possible to achieve early diagnosis and therapy.