|
KMID : 1189320160100010153
|
|
Asian Spine Journal
2016 Volume.10 No. 1 p.153 ~ p.157
|
|
|
Total Excision of a Giant Ventral Midline Cervical Spinal Intradural Schwannoma via Posterior Approach
|
|
Das Joe M.
Peethambaran Anilkumar
|
|
|
Abstract
|
|
|
|
Schwannomas are the most common intradural extramedullary tumors of the spine. They usually occupy a posterolateral or lateral position in relation to the cord. The ventral midline is a very rare location for the origin of a spinal schwannoma. A giant one in such a location causes technical difficulties in excision. Here, we present a giant cervical spinal schwannoma, located ventral to the cord, in a 38-year-old lady who presented with features of myelopathy and bladder involvement. Magnetic resonance imaging was suggestive of an intradural extramedullary lesion extending from cervico-medullary junction to the third dorsal vertebral level with severe cord compression. The same was excised totally via a posterior approach after midline suboccipital craniectomy and C2?C6 laminoplasty. Postoperatively, she made a good recovery and was ambulant without support. Postoperative magnetic resonance imaging showed complete excision of the tumor. Histopathology was suggestive of schwannoma.
|
|
|
KEYWORD
|
|
|
Schwannoma, Intradural-extramedullary spinal cord neoplasm, Laminoplasty, Myelopathy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|