Document Detail

Sacral chordoma and rehabilitative treatment of urinary disorders.
MedLine Citation:
PMID:  3188246     Owner:  NLM     Status:  MEDLINE    
Sacral chordoma is one of the rarest tumors of the central nervous system (less than 1% of the entire group). Mictional disorders are among the most frequent symptoms and are caused by the extrinsic compression brought to bear on the cauda equina and by surgical demolition of the sacrum. Seven patients who had undergone sacral resection for chordoma, starting from S2, were followed for at least one year. It was observed that mictional disorders were often early symptoms signalling the presence of chordoma. Several patients were affected by a complete bladder denervation (infrasacral lesion) after surgery. Early rehabilitative treatment given after surgery for one year restored normal bladder functions in all the patients whose bladder denervation seemed to be not total (negative Lapides' test). Even when a complete infrasacral lesion of the bladder has been ascertained, early rehabilitative treatment may well prevent serious renal damage.
T Torelli; B Campo; G Ordesi; C Pirovano; A Azzarelli; R Zanolla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tumori     Volume:  74     ISSN:  0300-8916     ISO Abbreviation:  Tumori     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-12-06     Completed Date:  1988-12-06     Revised Date:  2008-12-12    
Medline Journal Info:
Nlm Unique ID:  0111356     Medline TA:  Tumori     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  475-8     Citation Subset:  IM    
Urology Department, Ospedale Predabissi, Melegnano, Milano, Italia.
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MeSH Terms
Chordoma / complications*,  surgery
Follow-Up Studies
Middle Aged
Spinal Cord Neoplasms / complications*,  surgery
Urinary Bladder / innervation
Urination Disorders / etiology*,  rehabilitation

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