Cite

Copy

Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Follow-up After Treatment of Intramedullary Spinal Cord Tumors in Children

This page was last updated on January 25th, 2023

Frequency of Office Visits

30% of IMSCTs will progress within 5 years of surgery if an 80% resection is accomplished (10).  The progression rate will be higher with a smaller resection.   Therefore, scheduled follow-up is important.

  • Benign, every year: Most IMSCTs in children are benign.  Consequently, a yearly visit is usually sufficient. The family should be educated about signs of tumor progression, however, so that timely scanning can be done if there is a suspicion of recurrence.
  • Malignant, neuro-oncology follow-up: For the few who are diagnosed as having a malignant tumor, a more frequent follow-up schedule is indicated.  Frequently, adjuvant therapy is indicated, necessitating the participation of other specialties.  These services may see the patient weekly or more often, and surgical follow-up can be coordinated with them.

Frequency of Imaging

  • Baseline MRI: A follow-up MRI with and without gadolinium around 3 months postoperatively gives an estimation of the postoperative state of the tumor. While the immediate postoperative scan is useful for identifying an inadequate resection, it is not an accurate scan to use to follow a patient for evidence of treatment failure. At that point there has been too little time for the establishment of an equilibrium between the residual tumor and surround normal parenchyma.  Additionally, there is too much postoperative artifact.  For these reasons it is wise to delay obtaining the initially “baseline” scan until approximately 3 months postoperatively.
  • Subsequent MRI: Timing of the subsequent scans should be based on the tumor’s histology and biology, the amount of tumor left, and the patient’s condition. Typically, scans will be done every 6 months for several years and then yearly unless the tumor’s biology is aggressive.

 

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.