title: Intramedullary spinal cord tumor resection.
abstract: The authors present a case of a 27-year-old patient who presented with spastic gait and worsening difficulty walking over a 6 month period. Spinal MR imaging revealed a heterogeneously enhancing intramedullary spinal cord tumor (IMSCT) with associated syrinx in the cervical spine. The lesion was resected through posterior en bloc laminotomy, durotomy, and microscopic resection of the intramedullary component followed by laminoplasty reconstruction. Surgical resections with a goal of gross total resection can significantly improve overall survival and progression free survival in patients with low-grade IMSCT. The procedure is presented in an edited, high-definition format with accompanying narrative. The video can be found here: http://youtu.be/Ui9bn82PtP8 .
authors.affiliation: 1Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; and.
authors.forename: Mari L
authors.initials: ML
authors.lastname: Groves
authors.affiliation: 1Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; and.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Zadnik
authors.affiliation: 1Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; and.|2Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH.
authors.forename: Pablo F
authors.initials: PF
authors.lastname: Recinos
authors.affiliation: 2Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH.
authors.forename: Violette
authors.initials: V
authors.lastname: Renard
authors.affiliation: 1Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; and.
authors.forename: George I
authors.initials: GI
authors.lastname: Jallo
keywords: astrocytoma; diagnostic and operative techniques; ependymoma; intramedullary spinal cord tumor; laminoplasty; video