切除马尾神经串珠样神经鞘瘤的独特手术策略。
Distinctive Surgical Strategy for Removal of String of Beadlike Schwannomas of Cauda Equina.
作者信息
Liao Dengyong, Zhang Jing, Li Dan, Deng Xueyun, Ren Qingqing, Chen Haifeng
机构信息
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Department of Physiology, Basic Medical College of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
出版信息
World Neurosurg. 2018 Mar;111:207-210. doi: 10.1016/j.wneu.2017.12.134. Epub 2017 Dec 30.
BACKGROUND
Spinal schwannomas are the most common intradural extramedullary tumors. However, a string of beadlike schwannomas is rare. In some cases, the beadlike tumors might present a multiple segmental growing pattern, often located in the lumbar spinal canal and on 1 nerve fiber. Despite its benign nature, the resection of this string of beadlike tumors could be a challenge to neurosurgeons, especially when the tumors extend to a long distance.
CASE DESCRIPTION
A 50-year-old female was admitted to our hospital, and her diagnosis was beadlike schwannomas. We performed 2 small hemilaminectomies and pulled all the tumors out gently. The patient made a full recovery quickly after resection.
CONCLUSIONS
In this case, we first reported a new surgical approach for the removal of a string of beadlike cauda equina schwannomas. We hypothesize that this procedure would be a potential addition to the present surgical methods under some circumstances.
背景
脊髓神经鞘瘤是最常见的硬脊膜内髓外肿瘤。然而，一串珠状神经鞘瘤很罕见。在某些情况下，珠状肿瘤可能呈现多节段生长模式，常位于腰椎管内且累及1条神经纤维。尽管其为良性，但切除这串珠状肿瘤对神经外科医生来说可能是一项挑战，尤其是当肿瘤延伸较长距离时。
病例描述
一名50岁女性入院，诊断为珠状神经鞘瘤。我们进行了2次小型半椎板切除术，并轻柔地将所有肿瘤取出。患者术后迅速完全康复。
结论
在本病例中，我们首次报道了一种切除一串马尾神经鞘瘤的新手术方法。我们推测，在某些情况下，该手术方法可能是现有手术方法的一种潜在补充。
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