Rahyussalim Ahmad Jabir, Situmeang Adrian, Safri Ahmad Yanuar, Fadhly Zulfa Indah K
Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Indonesia, Jakarta 10430, Indonesia.
Neurophysiology Division, Department of Neurology, University of Indonesia, Jakarta 10430, Indonesia.
Case Rep Surg. 2015;2015:984982. doi: 10.1155/2015/984982. Epub 2015 Dec 29.
Intradural intramedullary mixed type hemangioma is a rare histotype of primary spinal cord tumors, though it can carry a severe clinical burden leading to limb dysfunction or motor and sensory disturbances. Timely intervention with radical resection is the hallmark of treatment but achieving it is not an easy task even for experienced neurosurgeons. We herein present an exemplificative case presenting with sudden paraplegia in which total resection was achieved under intraoperative neurophysiology monitoring. A thorough discussion on the operative technique and the role of neuromonitoring in allowing a safe surgical management of primary spinal cord tumors is presented.
硬脊膜内髓内混合型血管瘤是一种罕见的原发性脊髓肿瘤组织类型，尽管它可能带来严重的临床负担，导致肢体功能障碍或运动及感觉障碍。及时进行根治性切除是治疗的关键，但即使对于经验丰富的神经外科医生来说，实现这一目标也并非易事。我们在此展示一个以突发截瘫为表现的典型病例，该病例在术中神经生理监测下实现了全切。本文还对手术技术以及神经监测在原发性脊髓肿瘤安全手术管理中的作用进行了深入讨论。
