Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor

We describe the surgical aspects of the resection of a large 2cm intramedullary ependymoma at the C6-7 level associated with an extensive syrinx using a unilateral minimally invasive approach through a fixed tubular retractor. A gross total resection was achieved. Total operative time was 5 hours. E...

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Detalles Bibliográficos
Autores principales: Tarabay, Bilal, Gennari, Antoine, Boubez, Ghassan, Wang, Zhi, Shedid, Daniel, Yuh, Sung-Joo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Neurosurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514149/
https://www.ncbi.nlm.nih.gov/pubmed/36185933
http://dx.doi.org/10.7759/cureus.28457
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author Tarabay, Bilal
Gennari, Antoine
Boubez, Ghassan
Wang, Zhi
Shedid, Daniel
Yuh, Sung-Joo
author_facet Tarabay, Bilal
Gennari, Antoine
Boubez, Ghassan
Wang, Zhi
Shedid, Daniel
Yuh, Sung-Joo
author_sort Tarabay, Bilal
collection PubMed
description We describe the surgical aspects of the resection of a large 2cm intramedullary ependymoma at the C6-7 level associated with an extensive syrinx using a unilateral minimally invasive approach through a fixed tubular retractor. A gross total resection was achieved. Total operative time was 5 hours. Estimated blood loss was less than 100 cc. Postoperative evolution was favorable, with the improvement of the patient’s neurological status. There was no cerebrospinal fluid (CSF) fistula. Hospital stay was four days. All narcotics were stopped on day 1 after surgery. Post-operative MRI showed no residual tumor. At the six-month follow-up, there was continued improvement in his neurological status. Scoliosis films did not reveal any cervicothoracic kyphosis.
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spelling pubmed-95141492022-09-29 Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor Tarabay, Bilal Gennari, Antoine Boubez, Ghassan Wang, Zhi Shedid, Daniel Yuh, Sung-Joo Cureus Neurosurgery We describe the surgical aspects of the resection of a large 2cm intramedullary ependymoma at the C6-7 level associated with an extensive syrinx using a unilateral minimally invasive approach through a fixed tubular retractor. A gross total resection was achieved. Total operative time was 5 hours. Estimated blood loss was less than 100 cc. Postoperative evolution was favorable, with the improvement of the patient’s neurological status. There was no cerebrospinal fluid (CSF) fistula. Hospital stay was four days. All narcotics were stopped on day 1 after surgery. Post-operative MRI showed no residual tumor. At the six-month follow-up, there was continued improvement in his neurological status. Scoliosis films did not reveal any cervicothoracic kyphosis. Cureus 2022-08-26 /pmc/articles/PMC9514149/ /pubmed/36185933 http://dx.doi.org/10.7759/cureus.28457 Text en Copyright © 2022, Tarabay et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Tarabay, Bilal
Gennari, Antoine
Boubez, Ghassan
Wang, Zhi
Shedid, Daniel
Yuh, Sung-Joo
Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title_full Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title_fullStr Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title_full_unstemmed Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title_short Minimally Invasive Approach for Complete Resection of a Cervical Intramedullary Tumor via a Dorsal Root Entry Zone Using Fixed Tubular Retractor
title_sort minimally invasive approach for complete resection of a cervical intramedullary tumor via a dorsal root entry zone using fixed tubular retractor
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514149/
https://www.ncbi.nlm.nih.gov/pubmed/36185933
http://dx.doi.org/10.7759/cureus.28457
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