Limits...
Total Excision of a Giant Ventral Midline Cervical Spinal Intradural Schwannoma via Posterior Approach.

Das JM, Peethambaran A - Asian Spine J (2016)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.

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.

No MeSH data available.


Related in: MedlinePlus

H&E stained photomicrograph (×10) of the specimen showing the hypercellular Antoni A areas with Verocay bodies.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4764528&req=5

Figure 6: H&E stained photomicrograph (×10) of the specimen showing the hypercellular Antoni A areas with Verocay bodies.

Mentions: Histopathological examination of the specimen showed ancient schwannoma having both Antoni A areas with associated Verocay bodies (Fig. 6) and Antoni B (Fig. 7) areas.


Total Excision of a Giant Ventral Midline Cervical Spinal Intradural Schwannoma via Posterior Approach.

Das JM, Peethambaran A - Asian Spine J (2016)

H&E stained photomicrograph (×10) of the specimen showing the hypercellular Antoni A areas with Verocay bodies.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4764528&req=5

Figure 6: H&E stained photomicrograph (×10) of the specimen showing the hypercellular Antoni A areas with Verocay bodies.
Mentions: Histopathological examination of the specimen showed ancient schwannoma having both Antoni A areas with associated Verocay bodies (Fig. 6) and Antoni B (Fig. 7) areas.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.

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.

No MeSH data available.


Related in: MedlinePlus