Intramedullary cavernoma: A surgical resection technique.
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.
Fondazione IRCCS Istituto Neurologico Carlo Besta, Department of Neurosurgery, Milan, Italy. Electronic address: lore1985nch@gmail.com.
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Giammattei
University Hospital of Lausanne, Faculty of Human Medicine and Biology, Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne, Switzerland; Faculty of Medicine of Paris Sud, 78, rue du Général-Leclerc, 94270 Le-Kremlin-Bicêtre, France.
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M
Messerer
Fondazione IRCCS Istituto Neurologico Carlo Besta, Department of Neurosurgery, Milan, Italy.
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Prada
Fondazione IRCCS Istituto Neurologico Carlo Besta, Department of Neurosurgery, Milan, Italy; Johns-Hopkins University, Department of Neurosurgery, Baltimore, Maryland, United States.
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DiMeco
D006392:Hemangioma, Cavernous / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures / Q000379:methods; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*
Intramedullary spinal cavernoma; Intraoperative monitoring; Intraoperative ultrasonography; Microsurgery; Spinal intramedullary tumors