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KMID : 0388420000100010143
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Konkuk Journal of Medical Sciences
2000 Volume.10 No. 1 p.143 ~ p.150
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A Case of Total Resection of the Cervical Huge Spinal Neurofibroma by Combined Posterior and Anterolateral Approaches
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Lee Sei-Young
Cho Joon
Youn Seung-Hwan
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Abstract
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The authors present a case of huge cervical neurofibroma, which was completely resected with combined posterior and anterolateral approaches. This 27-year-old female patient complained neck pain without neurologic deficit after traffic accident. Plain X-ray revealed left C7 neural foraminal widening and magnetic resonance imaging showed a huge enhaned mass which was expanding from intradural, extramedullary region to extradural space through C7 neural foramen. On the first stage, the partial removal of intradural extramedullary tumor mass and the resection of C7 nerve root after neural stimulation were done with posterior approach. On the second stage of the operation, remained huge extradural mass was totally removed via anterolateral approach. Postoperative MR image revealed total resection of the mass. The patient´s symptoms were completely relieved and no neurologic complication was observed in spite of the resection of C7 ventral root.
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KEYWORD
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huge cervical spinal neurofibroma, posterior and anterolateral approches, intradural extramedullary mass
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