硬膜外颈椎海绵状瘤

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.25259/SNI_542_2024
Ghassen Gader, Wiem Mansour, Mohamed Ali Kharrat, Houssem Hdhili, Ines Chelly, Kamel Bahri, Ihsèn Zammel
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引用次数: 0

摘要

背景:脊髓海绵状瘤(SC)约占所有脊髓血管畸形的5%。硬膜内海绵状瘤仅占 3%,通常为髓内海绵状瘤:一位 58 岁的女性患者出现进行性左枕神经痛、左颈肱神经痛和四肢麻痹。磁共振成像(MRI)显示,C2-C4硬膜外病变导致脊髓严重受压。通过中线椎板切除术完成了肿瘤全切,病理证实为海绵状瘤。术后 4 个月的磁共振随访显示肿瘤完全切除:一名58岁的女性成功接受了C2-C4硬膜外SC全切术。
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Intradural extramedullary cervical cavernoma.

Background: Spinal cavernomas (SCs) account for about 5% of all spinal vascular malformations. Intradural SCs occur in just 3% of cases and are typically intramedullary.

Case description: A 58-year-old female presented with progressive left occipital neuralgia, left cervicobrachial neuralgia, and paresthesia of all four extremities. The magnetic resonance imaging (MRI) revealed an intradural extramedullary C2-C4 lesion causing significant spinal cord compression. Gross total tumor excision was accomplished through a midline laminectomy pathologically; the lesion proved to be a cavernoma. The postoperative follow-up MRI obtained 4 months postoperatively showed complete tumor resection.

Conclusion: A 58-year-old female successfully underwent gross total excision of a C2-C4 intradural extramedullary SC.

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