title: Intraoperative MR imaging in a case of a cervical spinal cord lesion.
abstract: The aim of this article is to describe the feasibility of performing intraoperative MR imaging in patients with spinal cord lesions and the potential value of this technique. The authors report a case involving a 28-year-old man who presented with chronic cervical pain and pain along the ulnar side of the forearms during neck flexion. Findings on clinical examination were normal, but MR imaging revealed a multicystic cervical spinal cord lesion. Surgery was undertaken to open the cysts, evacuate old blood, and search for pathological tissue. Intraoperative MR imaging showed that the caudal cyst was not opened, and surgery was therefore continued. The caudal cyst was fenestrated and a suspected small cavernous malformation was removed. Electrophysiological monitoring was performed both before and after the intraoperative MR imaging. The use of intraoperative MR imaging changed the strategy of the procedure and helped the surgeon to safely enter all the cysts in the cervical cord.
authors.affiliation: Department of Neurosurgery, First Faculty of Medicine, Charles University, Central Military Hospital, Prague 6, 169 02, Czech Republic. david.netuka@uvn.cz
authors.forename: David
authors.initials: D
authors.lastname: Netuka
authors.forename: Svatopluk
authors.initials: S
authors.lastname: Ostrý
authors.forename: Tomáš
authors.initials: T
authors.lastname: Belšán
authors.forename: Filip
authors.initials: F
authors.lastname: Kramář
authors.forename: Vladimír
authors.initials: V
authors.lastname: Beneš
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery*; D013118:Spinal Cord Diseases / Q000473:pathology / Q000601:surgery*