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Giant Solitary Anterior Cervical Canal Neurofibroma: Case Report and Surgical Technique.

Idowu OE, Atobatele KM, Soyemi SO - Asian Spine J (2015)

Bottom Line: When the large lesion is ventrally located to the spinal cord, an anterolateral approach may not be ideal due to various technical challenges.In this report, we describe a case of intradural extramedullary GSACCN located at the cervical region extending from the axis to the sixth cervical vertebrae.Here we also describe a posterior technique successfully used to resect the tumour.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery Division, Department of Surgery, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Lagos, Nigeria.

ABSTRACT
Giant solitary anterior cervical canal neurofibroma (GSACCN) is rarely reported in the literature. When the large lesion is ventrally located to the spinal cord, an anterolateral approach may not be ideal due to various technical challenges. In this report, we describe a case of intradural extramedullary GSACCN located at the cervical region extending from the axis to the sixth cervical vertebrae. Here we also describe a posterior technique successfully used to resect the tumour. Therefore, the posterior approach by En bloc decompressive laminectomy and laminoplasty might be used to adequately treat the lesion.

No MeSH data available.


Related in: MedlinePlus

Postoperative T1-weighted magnetic resonance image of the patient.
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Figure 4: Postoperative T1-weighted magnetic resonance image of the patient.

Mentions: A posterior approach was selected for the resection. En bloc resection of the posterior elements was performed from the axis to the sixth cervical vertebrae. The theca was opened via a longitudinal left paramedian incision. The ipsilateral dentate ligaments were sectioned. The cord was then gently rotated to the contralateral side to allow exposure of the ventrolateral surface. Intraoperative finding revealed a globular tumour arising from the left second dorsal nerve root with thinning of the posterior vertebrae elements. The tumour was then resected completely (Figs. 3, 4). Primary duroplasty was performed and bilateral open-door laminoplasty was operated at second, fourth, and sixth cervical level.


Giant Solitary Anterior Cervical Canal Neurofibroma: Case Report and Surgical Technique.

Idowu OE, Atobatele KM, Soyemi SO - Asian Spine J (2015)

Postoperative T1-weighted magnetic resonance image of the patient.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522452&req=5

Figure 4: Postoperative T1-weighted magnetic resonance image of the patient.
Mentions: A posterior approach was selected for the resection. En bloc resection of the posterior elements was performed from the axis to the sixth cervical vertebrae. The theca was opened via a longitudinal left paramedian incision. The ipsilateral dentate ligaments were sectioned. The cord was then gently rotated to the contralateral side to allow exposure of the ventrolateral surface. Intraoperative finding revealed a globular tumour arising from the left second dorsal nerve root with thinning of the posterior vertebrae elements. The tumour was then resected completely (Figs. 3, 4). Primary duroplasty was performed and bilateral open-door laminoplasty was operated at second, fourth, and sixth cervical level.

Bottom Line: When the large lesion is ventrally located to the spinal cord, an anterolateral approach may not be ideal due to various technical challenges.In this report, we describe a case of intradural extramedullary GSACCN located at the cervical region extending from the axis to the sixth cervical vertebrae.Here we also describe a posterior technique successfully used to resect the tumour.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery Division, Department of Surgery, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Lagos, Nigeria.

ABSTRACT
Giant solitary anterior cervical canal neurofibroma (GSACCN) is rarely reported in the literature. When the large lesion is ventrally located to the spinal cord, an anterolateral approach may not be ideal due to various technical challenges. In this report, we describe a case of intradural extramedullary GSACCN located at the cervical region extending from the axis to the sixth cervical vertebrae. Here we also describe a posterior technique successfully used to resect the tumour. Therefore, the posterior approach by En bloc decompressive laminectomy and laminoplasty might be used to adequately treat the lesion.

No MeSH data available.


Related in: MedlinePlus