颈胸段脊髓内室管膜下瘤的硬膜内髓内切除术：二维手术视频

Resection of intradural intramedullary subependymoma of the cervicothoracic spine: 2-dimensional operative video.

作者信息

Vignolles-Jeong Joshua, Gruber Maxwell D, Munjal Vikas, Cua Santino, Baum Justin, Chakravarthy Vikram B

机构信息

Department of Neurological Surgery, The Ohio State University, Columbus, Ohio.

出版信息

Neurosurg Focus Video. 2023 Oct 1;9(2):V6. doi: 10.3171/2023.6.FOCVID2381. eCollection 2023 Oct.

DOI:10.3171/2023.6.FOCVID2381

PMID:37854650

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10580741/

Abstract

This video presents the case of a 44-year-old male with a 2-year history of pain in the left upper extremity that had worsened over the course of the last 6 months with associated weakened grip strength and had extended into his right arm. T2-weighted sagittal and axial MRI demonstrated an expansive nonenhancing solid intramedullary lesion extending from C5 to T1. The patient underwent a C5-T1 laminectomy and laminoplasty with near-complete resection of the intradural intramedullary subependymoma. At 3 months' follow-up, he reported doing well and had experienced significant improvement in motor strength with ongoing therapies.

摘要

本视频展示了一名44岁男性的病例，该患者有左上臂疼痛2年病史，在过去6个月中病情加重，伴有握力减弱，并已蔓延至右臂。T2加权矢状位和轴位MRI显示，一个膨胀性、无强化的实性髓内病变，从C5延伸至T1。患者接受了C5 - T1椎板切除术和椎板成形术，几乎完全切除了硬脊膜内髓内室管膜下瘤。在3个月的随访中，他报告情况良好，通过持续治疗，运动力量有了显著改善。