Bucci M N, McGillicuddy J E, Taren J A, Hoff J T
Section of Neurosurgery, University of Michigan Hospitals, Ann Arbor 48109-0338.
Surg Neurol. 1990 Jan;33(1):15-8. doi: 10.1016/0090-3019(90)90218-e.
The authors discuss their recent experience with anteriorly located C1-C2 neurofibromata in five patients with cervical myelopathy and magnetic resonance scans consistent with intradural extramedullary masses in this region. Surgery was performed using a posterolateral approach with microscopic intradural exploration. Gross total intradural tumor removal was achieved in all cases. Improvement in cervical myelopathy occurred in all patients. This report concludes that C1-C2 neurofibromata located anterior to the spinal cord can be totally and safely removed using a posterolateral approach. Improvement in neurologic dysfunction accompanies posterior decompression and gross total intradural tumor removal.
作者讨论了他们最近对5例患有颈椎病且磁共振扫描显示该区域硬膜内髓外肿块的患者，治疗位于前方的C1 - C2神经纤维瘤的经验。手术采用后外侧入路并进行显微镜下硬膜内探查。所有病例均实现了硬膜内肿瘤全切。所有患者的颈椎病均有改善。本报告得出结论，位于脊髓前方的C1 - C2神经纤维瘤可通过后外侧入路完全安全地切除。神经功能障碍的改善伴随着后路减压和硬膜内肿瘤全切。
