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Anterolateral upper cervical approach for ventral C1-C2 meningioma. 颈前外侧上入路治疗腹侧C1-C2脑膜瘤。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.6.FOCVID2377
Serdar Rahmanov, Yücel Doğruel, Abuzer Güngör, Uğur Türe
{"title":"Anterolateral upper cervical approach for ventral C1-C2 meningioma.","authors":"Serdar Rahmanov,&nbsp;Yücel Doğruel,&nbsp;Abuzer Güngör,&nbsp;Uğur Türe","doi":"10.3171/2023.6.FOCVID2377","DOIUrl":"https://doi.org/10.3171/2023.6.FOCVID2377","url":null,"abstract":"<p><p>The surgical management of ventral upper cervical meningiomas poses significant challenges due to their deep location and limited accessibility. These tumors have the potential to compress or involve nearby neurovascular structures, leading to various neurological complications including inferior cranial nerve palsy, motor deficits, and sensory disturbances such as hypoesthesia, paresthesia, and impaired coordination. To address this issue, surgical intervention through an anterolateral or far lateral approach has been recognized as the optimal treatment strategy. In this video, the authors present a detailed demonstration of the operative technique using an anterolateral upper cervical approach to safely resect a ventrally located C1-2 meningioma.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Removal of a thoracic intramedullary epidermoid tumor in a child. 儿童胸髓内表皮样肿瘤切除术。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2366
Marianna Di Costanzo, Pietro Spennato, Francesca Vitulli, Maria Allegra Cinalli, Maria De Liso, Claudio Ruggiero, Giuseppe Cinalli
{"title":"Removal of a thoracic intramedullary epidermoid tumor in a child.","authors":"Marianna Di Costanzo,&nbsp;Pietro Spennato,&nbsp;Francesca Vitulli,&nbsp;Maria Allegra Cinalli,&nbsp;Maria De Liso,&nbsp;Claudio Ruggiero,&nbsp;Giuseppe Cinalli","doi":"10.3171/2023.7.FOCVID2366","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2366","url":null,"abstract":"<p><p>Epidermoid cysts are rare, benign neoplasms that account for less than 1% of all intraspinal tumors. The most common localization is in the lumbar area, and one-third of the tumors are intramedullary. In this video, the authors present removal of a thoracic intramedullary epidermoid tumor in a 6-year-old boy, carrier of a 22q11 gene duplication and affected by psychomotor retardation. He presented a 1-year history of progressive gait impairment. No history of lumbar puncture or trauma was reported. The procedure was performed under neurophysiological monitoring, and it was uneventful with complete recovery of neurological function. Technical nuances are illustrated.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V17"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical resection of an intradural extramedullary spinal tumor. 髓外硬膜下肿瘤的外科切除术。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2351
Joseph Yunga Tigre, Adam Levy, Eva M Wu, James Boddu, Vignessh Kumar, Allan D Levi, S Shelby Burks
{"title":"Surgical resection of an intradural extramedullary spinal tumor.","authors":"Joseph Yunga Tigre,&nbsp;Adam Levy,&nbsp;Eva M Wu,&nbsp;James Boddu,&nbsp;Vignessh Kumar,&nbsp;Allan D Levi,&nbsp;S Shelby Burks","doi":"10.3171/2023.7.FOCVID2351","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2351","url":null,"abstract":"<p><p>Large ventrally located spinal meningiomas are typically resected via a posterolateral or lateral approach. Optimal outcomes are associated with good preoperative functional status (i.e., modified McCormick grade < 4), while recurrence rates may be predicted by degree and quality of resection (i.e., low Simpson grade). This video describes the operative techniques for resection of a large ventral C2 intradural extramedullary meningioma in a 71-year-old male presenting with hemibody sensory loss and abnormal gait. A paramedian approach was performed, allowing for adequate exposure and gross-total resection. The patient was discharged on postoperative day 2 and showed near-complete resolution of sensory deficits.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tandem resection of multiple spinal schwannomas. 多发性脊髓神经鞘瘤的串联切除术。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2393
Joseph S Bell, Ulrich Batzdorf, Langston T Holly
{"title":"Tandem resection of multiple spinal schwannomas.","authors":"Joseph S Bell,&nbsp;Ulrich Batzdorf,&nbsp;Langston T Holly","doi":"10.3171/2023.7.FOCVID2393","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2393","url":null,"abstract":"<p><p>This video depicts the resection of three separate intradural extramedullary spinal tumors performed under the same anesthetic. Neuromonitoring was used to identify motor nerve roots, and laminoplasty was performed at the thoracolumbar junction to preserve alignment and minimize the risk of postoperative CSF leak.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V21"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technical nuances for the resection of cervical dumbbell schwannomas. 颈部哑铃状神经鞘瘤切除术的技术细节。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2361
Brandon M Wilkinson, Disep I Ojukwu, Timothy Dawson, Cheerag Upadhyaya, Michael A Galgano
{"title":"Technical nuances for the resection of cervical dumbbell schwannomas.","authors":"Brandon M Wilkinson,&nbsp;Disep I Ojukwu,&nbsp;Timothy Dawson,&nbsp;Cheerag Upadhyaya,&nbsp;Michael A Galgano","doi":"10.3171/2023.7.FOCVID2361","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2361","url":null,"abstract":"<p><p>The majority of spinal nerve sheath tumors are within the intradural/extramedullary compartment. A subset of these tumors develop extraforaminal components that gradually expand into potential spaces. Herein, the authors provide a 2D video demonstrating the technical nuances concerning resection of cervical dumbbell schwannomas with extraspinal extension. Although nerve sheath tumors with large extraforaminal extension are often associated with complications and pose unique challenges to surgeons, circumferential exposure with intradural exploration allows for gross-total resection and nerve root preservation, without need for adjuvant treatments. The use of intraoperative ultrasound, neurophysiological monitoring, Doppler imaging, and meticulous surgical techniques aided to circumvent complications.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V14"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resection of a large thoracolumbar intradural ependymoma: a 2D operative video. 胸腰椎硬膜内室管膜瘤切除术：二维手术视频。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2378
Daniel M Aaronson, Brandon Laing, Randall Treffy, Saman Shabani
{"title":"Resection of a large thoracolumbar intradural ependymoma: a 2D operative video.","authors":"Daniel M Aaronson,&nbsp;Brandon Laing,&nbsp;Randall Treffy,&nbsp;Saman Shabani","doi":"10.3171/2023.7.FOCVID2378","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2378","url":null,"abstract":"<p><p>In this video, the authors present the resection of a large thoracolumbar intradural ependymoma in a 33-year-old female. The patient underwent T9-L3 laminectomies, intradural tumor resection, and posterior instrumented fixation and fusion. The surgical procedure aimed to relieve the mass effect, obtain a diagnosis, prevent further neurological decline, and achieve a potential curative resection. The pathology confirmed a myxopapillary ependymoma, a rare tumor with a preference for the conus medullaris, cauda equina, or filum terminale. The video provides insights into the case, surgical steps, clinical outcomes, and background information on myxopapillary ependymomas and treatment options.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V16"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical resection of recurrent intramedullary subependymoma of the cervical spinal cord. 复发性颈髓髓内室管膜下瘤的外科切除术。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2394
Jennifer L Perez, Maria D Astudillo Potes, Juliana C Rotter, Megan C Everson, Aditya Raghunathan, Michelle J Clarke
{"title":"Surgical resection of recurrent intramedullary subependymoma of the cervical spinal cord.","authors":"Jennifer L Perez,&nbsp;Maria D Astudillo Potes,&nbsp;Juliana C Rotter,&nbsp;Megan C Everson,&nbsp;Aditya Raghunathan,&nbsp;Michelle J Clarke","doi":"10.3171/2023.7.FOCVID2394","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2394","url":null,"abstract":"<p><p>Spinal subependymomas (SE) are rare, often indolent benign tumors presenting most frequently as intramedullary tumors in the cervical spine or cervicothoracic junction. When symptomatic, patients often present with years of sensory changes, weakness, paresthesias, or bowel and bladder dysfunction. Preoperatively, SE are difficult to distinguish radiographically from ependymomas or astrocytomas; however, it is important to make the distinction intraoperatively as complete resection can be curative. Here the authors present a rare case of recurrent, symptomatic cervical subependymoma which underwent gross-total resection and discussion of management strategies and outcomes of all SE at their institution.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V7"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The precise midline myelotomy through anatomical posterior median septum by dissecting dorsal column in microsurgical resection of ependymoma (2-dimensional operative video). 在室管膜瘤的显微外科切除中，通过解剖背柱的解剖后正中隔膜进行精确的中线脊髓切开术（二维手术视频）。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2317
Jun-Hoe Kim, Chun Kee Chung
{"title":"The precise midline myelotomy through anatomical posterior median septum by dissecting dorsal column in microsurgical resection of ependymoma (2-dimensional operative video).","authors":"Jun-Hoe Kim,&nbsp;Chun Kee Chung","doi":"10.3171/2023.7.FOCVID2317","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2317","url":null,"abstract":"<p><p>Although resection is the gold standard treatment for spinal ependymoma, permanent neurological deterioration has been reported postoperatively in 20%-27% of patients. Despite thorough dissection of the tumor from its surroundings, conventional longitudinally directed midline myelotomy can lead to injury to the dorsal column, possibly due to deformation of the posterior median septum as the tumor grows. To address this issue, the authors have been performing precise midline myelotomy through the anatomical posterior median septum by directly dissecting the dorsal column. This video presents the principles and application of this technique.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction. Intradural spine tumor surgery 介绍。硬膜内脊柱肿瘤手术
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.focvid23104
Michelle J. Clarke, Paul McCormick, Mark Bilsky, Praveen Mummaneni
{"title":"Introduction. Intradural spine tumor surgery","authors":"Michelle J. Clarke, Paul McCormick, Mark Bilsky, Praveen Mummaneni","doi":"10.3171/2023.7.focvid23104","DOIUrl":"https://doi.org/10.3171/2023.7.focvid23104","url":null,"abstract":"INTRODUCTIONIntradural spine tumors pose unique challenges to neurosurgeons because of their delicate location within or adjacent to the spinal cord and surrounding neural structures. The evolving field of intradural surgery has witnessed remarkable advances, including the innovative use of emerging technologies. In this issue of Neurosurgical Focus: Video, we are honored to feature contributions from leading experts, who share their knowledge to improve surgical outcomes, reduce morbidity, and enhance patient quality of life.Each video presents a unique case, highlighting surgical challenges and the diversity of pathologies encountered. This collection of intradural spine tumor surgery","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135406913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intramedullary sclerosing meningioma: operative video. 髓内硬化性脑膜瘤：手术录像。
Neurosurgical focus: Video Pub Date : 2023-10-01 DOI: 10.3171/2023.7.FOCVID2385
Giada Garufi, Giuseppe Ricciardo, Alfredo Conti, Salvatore Massimiliano Cardali
{"title":"Intramedullary sclerosing meningioma: operative video.","authors":"Giada Garufi,&nbsp;Giuseppe Ricciardo,&nbsp;Alfredo Conti,&nbsp;Salvatore Massimiliano Cardali","doi":"10.3171/2023.7.FOCVID2385","DOIUrl":"https://doi.org/10.3171/2023.7.FOCVID2385","url":null,"abstract":"<p><p>Sclerosing meningiomas (SMs) represent a rare histological variant of meningiomas, first described in 1989 as invasive bulking masses of whorling collagen bundles with a minimum percentage of meningothelia-resembling cells, and they are often misdiagnosed. The literature reports only 30 cases of SMs, with only two of them being intramedullary. The authors present the case of a patient with a cervical intramedullary SM who presented with gait disturbances, sensory deficits, weakness in four extremities, and hyperreflexia. The surgery was performed under neurophysiological monitoring and after administration of sodium fluorescein, which allowed us to discriminate the exact myelotomy point. Intramedullary SMs are very rare entities whose correct management may result in a good outcome.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"9 2","pages":"V10"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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