Gok Haydar, Celik Suat Erol, Yangi Kivanc, Kartal Salih B, Dobral Arzu
Neurological Surgery, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, TUR.
Neurological Surgery, Tokat Public Hospital, Tokat, TUR.
Cureus. 2023 Sep 1;15(9):e44511. doi: 10.7759/cureus.44511. eCollection 2023 Sep.
Intramedullary ependymomas should be treated with surgical resection. Different surgical techniques are described for these tumors, such as skipped and long-segment myelotomies. A 31-year-old male patient with a giant thoracic spinal cord ependymoma extending from the level of T5 to T10 was operated on with a skipped myelotomy technique. Although the patient had urinary incontinence and muscle weakness in both legs, the patient's complaints were nearly completely resolved in the fourth postoperative month. Operating with the smallest possible myelotomy has given us preferable results; however, more studies are needed to hypothesize the superiority of this technique over conventional myelotomy.
髓内室管膜瘤应采用手术切除治疗。针对这些肿瘤描述了不同的手术技术，如跳跃式和长节段脊髓切开术。一名31岁男性患者患有巨大的胸段脊髓室管膜瘤，从T5水平延伸至T10，采用跳跃式脊髓切开术进行手术。尽管患者存在尿失禁和双腿肌肉无力，但术后第四个月患者的症状几乎完全缓解。采用尽可能小的脊髓切开术进行手术给我们带来了较好的结果；然而，需要更多研究来推测该技术优于传统脊髓切开术。
