Biportal Endoscopic Resection of Intradural Meningioma in the Cervical Spine: A Case Report.

IF 1.7 Q2 SURGERY International Journal of Spine Surgery Pub Date : 2024-11-08 DOI:10.14444/8645
Seok Bong Jung, Nackhwan Kim
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引用次数: 0

Abstract

Cervical intradural meningioma are rare central nervous system neoplasms. Surgical resection is the primary treatment due to the tumor's benign nature and clear demarcation from the spinal cord, although the posterior surgical approach can result in complications such as neurological deficits and cerebrospinal fluid leaks. We present a case of a 78-year-old woman with progressive clumsiness, gait disturbance, and weakness. She was diagnosed with an intradural extramedullary meningioma at the C2 to C3 level through magnetic resonance imaging. The tumor was excised using a cervical biportal endoscopic spine surgery approach, a minimally invasive technique that utilizes 2 small portals for endoscope and instrument access. The procedure, performed under general anesthesia, involved a hemilaminectomy and partial laminectomy to access and remove the tumor. Postoperative assessments indicated significant neurological recovery, with the patient regaining independent mobility and fine motor skills. Follow-up magnetic resonance images at 18 months confirmed the absence of tumor recurrence. This case demonstrates the efficacy of cervical biportal endoscopic spine surgery in managing high cervical intradural tumors, highlighting its potential for reducing surgical complications and promoting rapid patient recovery.

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颈椎硬膜内脑膜瘤双入口内窥镜切除术:病例报告。
颈椎硬膜内脑膜瘤是一种罕见的中枢神经系统肿瘤。由于肿瘤为良性,且与脊髓分界清楚,手术切除是主要的治疗方法,但后路手术可能会导致神经功能缺损和脑脊液漏等并发症。我们介绍了一例 78 岁女性的病例,她患有进行性笨拙、步态障碍和乏力。通过磁共振成像,她被诊断为 C2 至 C3 水平的硬膜外脑膜瘤。采用颈椎双入口内窥镜脊柱手术方法切除了肿瘤,这是一种微创技术,利用两个小口进入内窥镜和器械。手术在全身麻醉下进行,包括半椎板切除术和部分椎板切除术,以进入并切除肿瘤。术后评估显示,患者的神经功能得到了明显恢复,恢复了独立活动能力和精细运动技能。18 个月的随访磁共振图像证实肿瘤没有复发。本病例展示了颈椎双门内窥镜脊柱手术在治疗高位颈椎硬膜内肿瘤方面的疗效,凸显了其在减少手术并发症和促进患者快速康复方面的潜力。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
162
期刊介绍: The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.
期刊最新文献
Editorial: Embracing Rasch Analysis for Enhanced Spine Surgery Outcomes-The Outsider's Viewpoint. Editors' Introduction: High-Value Endoscopic Techniques: Integrating Surgeon Skill and Experience in Spine Surgery With Rasch Analysis. Invited Commentary: Rasch Analysis and High-Value Spinal Endoscopy. Letter to the Editor: Articles and Accompanying Editorials on Rasch Analysis of High-Value Endoscopic Surgeries-A Message From the ISASS Co-President. Letter to the Editor: Hierarchy of Evidence.
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