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右胸镜下机器人辅助切除纵隔尖部C7神经鞘瘤

Right Thoracoscopic, Robot-Assisted Resection of an Apical Mediastinal C7 Schwannoma.

作者信息

Oslin Spencer J, Villeneuve Lance M, Shi Helen H, Muhammad Fauziyya Y, Reinersman J Matthew, Smith Zachary A

机构信息

Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.

Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.

出版信息

J Neurol Surg Rep. 2024 Dec 26;85(4):e187-e189. doi: 10.1055/a-2482-9271. eCollection 2024 Oct.

Abstract

Spinal schwannomas are benign, slow-growing tumors originating from Schwann cells, constituting 25 to 30% of primary spinal neoplasms and most frequently arise from sensory nerve roots in the cervical or thoracic spine. 1 2 3 Although generally nonaggressive, their growth can result in significant neurological deficits due to compression of surrounding structures such as the spinal cord or nerve roots. 4 5 Patients commonly present with localized pain, muscle weakness, and sensory disturbances. 5 6 Imaging techniques such as MRI or CT assist in identifying these tumors, and surgical resection is recommended when they cause progressive symptoms or neurological decline. 7 8 Recent advances in surgical techniques have improved the precision of schwannoma resections, reducing intraoperative complications, facilitating patient recovery, and improving overall patient outcomes. 9.

摘要

脊髓神经鞘瘤是起源于施万细胞的良性、生长缓慢的肿瘤,占原发性脊髓肿瘤的25%至30%,最常发生于颈段或胸段脊髓的感觉神经根。虽然通常不具侵袭性,但由于其生长可压迫脊髓或神经根等周围结构,从而导致严重的神经功能缺损。患者通常表现为局部疼痛、肌肉无力和感觉障碍。MRI或CT等成像技术有助于识别这些肿瘤,当它们引起进行性症状或神经功能衰退时,建议进行手术切除。手术技术的最新进展提高了神经鞘瘤切除术的精确度,减少了术中并发症,促进了患者康复,并改善了患者的总体预后。

相似文献

1
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Giant schwannoma of thoracic vertebra: A case report.胸椎巨大神经鞘瘤:一例报告。
World J Clin Cases. 2021 Dec 26;9(36):11448-11456. doi: 10.12998/wjcc.v9.i36.11448.
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Chylothorax After Schwannoma Resection.神经鞘瘤切除术后乳糜胸
Cureus. 2022 Oct 9;14(10):e30112. doi: 10.7759/cureus.30112. eCollection 2022 Oct.

本文引用的文献

2
Intradural spinal tumors: current classification and MRI features.硬脊膜内脊髓肿瘤:当前分类及磁共振成像特征
Neuroradiology. 2008 Apr;50(4):301-14. doi: 10.1007/s00234-007-0345-7. Epub 2007 Dec 15.
3
Spinal extradural schwannoma.脊髓硬膜外神经鞘瘤
J Neurosurg Spine. 2005 Apr;2(4):447-56. doi: 10.3171/spi.2005.2.4.0447.
4
Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases.脊神经鞘瘤的临床特征:149例分析
Neurosurgery. 2005 Mar;56(3):510-5; discussion 510-5. doi: 10.1227/01.neu.0000153752.59565.bb.
5
Paraspinal nerve sheath tumors.椎旁神经鞘瘤
Neurosurg Clin N Am. 2004 Apr;15(2):217-22, vii. doi: 10.1016/j.nec.2004.02.007.
7
Epidemiologic study of primary intracranial neoplasms.原发性颅内肿瘤的流行病学研究。
Arch Neurol. 1981 Apr;38(4):217-9. doi: 10.1001/archneur.1981.00510040043006.

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