[A case of intrathoracic dumb-bell ganglioneuroma and a surgical approach using spinal evoked potentials (SEP)].
A successfully treated case of a seven-year-old girl with a left intrathoracic Dumb-bell ganglioneuroma is reported. The tumor was 10 cm in diameter. Preoperative angiography revealed that the location of tumor was very close to the Adamkiewicz artery. In order to prevent the artery from damaging, spinal evoked potentials (SEP) was used during the surgery and was very useful for monitoring the spinal cord. Although SEP has often been employed in spine surgery, the literature on the use of it for posterior mediastinal tumor is scarce. It is considered that SEP is very useful for not damaging the feeding artery to the spinal cord, and for preventing the postoperative neurologic complications.
Ojika
T
T
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Imaizumi
M
M
Watanabe
H
H
Nishimura
M
M
Sakakibara
M
M
Mizuno
S
S
Watanabe
T
T
Hiroura
M
M
Abe
T
T
Kato
F
F
D002648:Child; D005071:Evoked Potentials; D005260:Female; D005729:Ganglioneuroma / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008479:Mediastinal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D016343:Monitoring, Intraoperative; D013116:Spinal Cord / Q000503:physiopathology*