Successful surgical strategy for a cervical hemangioblastoma: Case report
| Autor: | Hideaki Imai, Daichi Nakagawa, Hirofumi Nakatomi, Tomomasa Kondo, Nobuhito Saito, Masanori Yoshino, Seiji Nomura, Kazuhiko Ishii, Junichi Ohya, Taichi Kin, Hirotaka Chikuda, Satoru Miyawaki |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
indocyanine green hemangioblastoma three-dimensional computer graphics temporary arterial occlusion medicine.medical_treatment Dura mater Anterior spinal artery 03 medical and health sciences 0302 clinical medicine Hemangioblastoma medicine.artery medicine Syrinx (medicine) Corpectomy business.industry spinal cord medicine.disease Spinal cord Surgical Neurology International: Spine Spinal hemangioblastoma Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Thyrocervical trunk Anterior approach Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2229-5097 |
| Popis: | Background Hemangioblastomas are hypervascular lesions and hence their surgical management is challenging. In particular, if complete resection is to be attained, all feeding and draining vessels must be occluded. Although most intramedullary spinal cord tumors are treated utilizing a posterior approach, we describe an anterior surgical strategy for resection of an intramedullary cervical hemangioblastoma. Case description A 36-year-old female with a spinal hemangioblastoma located in the anterior cervical spinal cord presented with a long-standing history of motor weakness of the right upper extremity. Magnetic resonance imaging revealed a large multilevel extensive syrinx and a focal intramedullary enhanced tumor at the C6 level. Angiography showed that the main feeder to the tumor was the left radicular artery (C8), which originated from the thyrocervical trunk, penetrated the dura mater, and branched both rostrally and caudally into the anterior spinal artery (ASA). Three-dimensional computer graphic images showed the tumor was located in the anterior part of the spinal cord, adjacent to and supplied by the ASA. The planned anterior surgical approach involved a total corpectomy of C6 and partial corpectomies of C5 and C7. The tumor was entirely removed despite multiple adhesions, and was successfully freed from the ASA. Patency of the ASA was confirmed utilizing intraoperative indocyanine green videoangiography. Intraoperatively, no monitoring changes were encountered. The pathological diagnosis was of a hemangioblastoma. No postoperative deficit occurred. Conclusions An anterior approach for the resection of an anteriorly located intramedullary spinal hemangioblastomas was successfully accomplished in this case. |
| Databáze: | OpenAIRE |
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