Dorsal cervical approach for recurrent intradural anaplastic ependymoma.
| Autor: | Laws MT; Department of Surgical Neurology.; Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia; and.; Neurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland., Arhin M; Department of Surgical Neurology.; University of North Carolina School of Medicine, Chapel Hill, North Carolina.; Neurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland., Ampie L; Department of Surgical Neurology.; Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia; and., Chittiboina P; Department of Surgical Neurology.; Neurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland. |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgical focus: Video [Neurosurg Focus Video] 2023 Oct 01; Vol. 9 (2), pp. V2. Date of Electronic Publication: 2023 Oct 01 (Print Publication: 2023). |
| DOI: | 10.3171/2023.6.FOCVID2396 |
| Abstrakt: | The video demonstrates an operative approach to a recurrent cervical anaplastic ependymoma. MYCN-amplified anaplastic ependymomas are locally aggressive, recurrent, and have a high risk of iatrogenic injury. In this case, the patient presented with local, aggressive tumor expansion, arachnoid adhesions, and pial invasion ventral to the spinal cord. Subcapsular decompression minimized cord retraction from a dorsal approach. Removal of the tumor capsule was guided by bipolar stimulation paired with neuromonitoring. Local gross-total resection was achieved, and the patient had a postoperative improvement in his neurological deficits and myelopathy. Competing Interests: Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication. (© 2023, The Authors.) |
| Databáze: | MEDLINE |
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