Intramedullary spinal cavernoma is a rare vascular disease constituting 5-12% of all spinal vascular tumors. The clinical course is usually characterized either by an acute neurological deterioration, recurrent episodes of neurological deficits or by a slowly progressive neurological decline. Microsurgical removal is recommended when the symptoms become clinically relevant and the lesion appears accessible. In this article, we present a surgical technique to completely resect an intramedullary cavernoma with the aid of intraoperative electrophysiological monitoring and intraoperative real-time ultrasound guidance. A brief description of current management of this pathology is also presented.
Intramedullary cavernoma: a surgical resection technique / L. Giammattei, M. Messerer, F. Prada, F. Di Meco. - In: NEURO-CHIRURGIE. - ISSN 0028-3770. - 63:5(2017 Nov), pp. 426-429. [10.1016/j.neuchi.2016.04.005]
Intramedullary cavernoma: a surgical resection technique
L. Giammattei;F. Prada;F. Di Meco
2017
Abstract
Intramedullary spinal cavernoma is a rare vascular disease constituting 5-12% of all spinal vascular tumors. The clinical course is usually characterized either by an acute neurological deterioration, recurrent episodes of neurological deficits or by a slowly progressive neurological decline. Microsurgical removal is recommended when the symptoms become clinically relevant and the lesion appears accessible. In this article, we present a surgical technique to completely resect an intramedullary cavernoma with the aid of intraoperative electrophysiological monitoring and intraoperative real-time ultrasound guidance. A brief description of current management of this pathology is also presented.File | Dimensione | Formato | |
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