title: Surgical Strategies for Cervical Spinal Neurinomas.
abstract: Cervical spinal neurinomas are benign tumors that arise from nerve roots. Based on their location, these tumors can also take the form of a dumbbell-shaped mass. Treatment strategies for these tumors have raised several controversial issues such as appropriate surgical indications and selection of surgical approaches for cervical dumbbell-shaped spinal neurinomas. In this report, we review previous literature and retrospectively analyze cervical spinal neurinoma cases that have been treated at our hospital. Surgical indications and approaches based on tumor location and severity are discussed in detail. Thus, with advances in neuroimaging and neurophysiological monitoring, we conclude that appropriate surgical approaches and intraoperative surgical manipulations should be chosen on a case-by-case basis.
authors.affiliation: Department of Neurosurgery, Shinshu University School of Medicine.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Ito
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Aoyama
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Miyaoka
authors.forename: Tetsuyoshi
authors.initials: T
authors.lastname: Horiuchi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hongo
mesh_terms: D006801:Humans; D009442:Neurilemmoma / Q000601:surgery*; D019635:Neurosurgical Procedures; D011183:Postoperative Complications; D012008:Recurrence; D013125:Spinal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome