Uchida K, Kobayashi S, Kubota C, Imamura Y, Bangirana A, Mwaka E, Wada M, Baba H
Department of Orthopaedics and Rehabilitation Medicine, Fukui University Faculty of Medical Sciences, Fukui, Japan.
Minim Invasive Neurosurg. 2007 Dec;50(6):350-4. doi: 10.1055/s-2007-993207.
Ganglioneuromas are benign, slow-growing tumors originating from sympathetic nerves or peripheral nerves, often associated with multiple tumor syndromes. They occasionally occur as spinal lesions and grow within the spinal canal or as paraspinal lesions. In this report, we describe a rare solitary ganglioneuroma arising from the cervical nerve root (C8) within the intervertebral foramen in adults. The tumor could be detected as a mass limited to the neuroforamen at an early stage by MR images. Unilateral microsurgical foraminotomy and EN BLOC resection of the tumor resulted in disappearance of the symptoms. Microsurgical resection of the relevant nerve root through limited medial foraminotomy at an intricate anatomical region of the cervico-thoracic junction was appropriate in the current case for complete resection of the tumor as well as to prevent postoperative structural weakness that could result in late segmental instability.
神经节神经瘤是起源于交感神经或周围神经的良性、生长缓慢的肿瘤，常与多种肿瘤综合征相关。它们偶尔作为脊柱病变出现，并在椎管内生长或作为椎旁病变。在本报告中，我们描述了一例罕见的成人椎间孔内颈神经根（C8）起源的孤立性神经节神经瘤。通过磁共振成像（MR）图像，肿瘤在早期可被检测为局限于神经孔的肿块。单侧显微外科椎间孔切开术和肿瘤整块切除导致症状消失。在当前病例中，通过在复杂的颈胸交界处解剖区域进行有限的内侧椎间孔切开术对相关神经根进行显微外科切除，对于完全切除肿瘤以及预防可能导致后期节段性不稳定的术后结构薄弱是合适的。
