Minimally invasive transmuscular approach for the treatment of benign intradural extramedullary spinal cord tumours: Technical note and results

2015 ◽  
Vol 61 (5) ◽  
pp. 333-338 ◽  
Author(s):  
M. Afathi ◽  
E. Peltier ◽  
T. Adetchessi ◽  
T. Graillon ◽  
H. Dufour ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Technical Note ◽  
Intradural Extramedullary ◽  
Spinal Cord Tumours

The use of minimally invasive approaches to resect intradural extramedullary spinal cord tumors

2014 ◽  
Vol 78 (6) ◽  
pp. 24 ◽  
Author(s):  
N. A. Konovalov ◽  
I. N. Shevelev ◽  
A. G. Nazarenko ◽  
D. S. Asiutin ◽  
V. A. Korolishin ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Spinal Cord Tumors ◽  
Intradural Extramedullary

scholarly journals Intradural extramedullary spinal cord tumours: A retrospective study of sur­ gical outcomes

2016 ◽  
Vol 9 (1) ◽  
pp. 11
Author(s):  
Md. Kamrul Ahsan ◽  
Md. Abdul Awwal ◽  
Shahidul Islam Khan ◽  
Md. Hamidul Haque ◽  
Naznin Zaman
Keyword(s):  
Spinal Cord ◽  
Surgical Excision ◽  
Clinical Results ◽  
Neurological Deterioration ◽  
Cerebrospinal Fluid Leakage ◽  
Myxopapillary Ependymoma ◽  
Histopathological Diagnosis ◽  
Preoperative Symptom ◽  
Intradural Extramedullary ◽  
Spinal Cord Tumours

<p><strong>Background:</strong> Intradural extramedullary spinal cord tumours (IESCT) accounts for approximately two thirds of all intraspinal neoplasm and are of important clinical consideration and surgery is the essence in cases with neurological deterioration.</p><p><strong>Objective:</strong> To share our experience on the outcome of surgical excision of intradural extramedullary spinal cord tumours. Methods: Results of 60 patients surgically treated intradural extramedullary spinal tumours between Octo­ber 2003 and October 2015 at Bangabandhu Sheikh Mujib Medical University and in our private settings, Dhaka, were analyzed retrospectively. There were 32 males, 28 females with an average age of 52.4 years (13-70 years) and followed up for at least a year. The preoperative symptom with duration, tumours location and intradural space occupancy and the histopathological diagnosis were analyzed. Pain was evaluated by the visual analogue scale (VAS) and the neurologic function was assessed by Nurick's grade.</p><p><strong>Results:</strong> The tumours were located as, thoracic 32 (53.33%), lumbar 16 (26.67%), cervical 04 (6.67%), and junctional 08 (13.33%), CervicoThoracic-01, Thoracolumbar-07). The histopathological diagnosis included schwannoma 35 (58.33%), meningiomas 14 (23.33%), neurofbroma 4 (6.67%), arachnoid cyst and myxopapillary ependymoma 03 (05.00%) each and paraganglioma 01 (01.67%). The VAS score was reduced in all cases from 8.0 ± 1.2 to 1.2 ± 0.8 (p &lt; 0.003) and the Nurick's grade was improved in all cases from 3.0 ± 1.3 to 1.0 ± 0.0 (p &lt; 0.005). The preoperative neurological deficit improved within 8 postoperative weeks in most cases and within 1 postoperative year in all cases. Complications included cerebrospinal fluid leakage, parasthesia, dependant bedsore 02 (3.33%) each and recurrence 03 (05.00%). and further neurological deterioration 1 (01.67%) case.</p><p><strong>Conclusion:</strong> lntradural extramedullary tumors detected by MRI are mostly benign and good clinical results can be obtained when treated surgi­cally. Aggressive surgical excision potentially minimizes neurologic morbidity and improved outcome. ­</p>

Minimally Invasive Resection of a Cervical Anterolateral Meningioma: 2-Dimensional Operative Video

2018 ◽  
Vol 16 (4) ◽  
pp. 520-520
Author(s):  
Federico Landriel ◽  
Santiago Hem ◽  
Eduardo Vecchi ◽  
Claudio Yampolsky
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Neck Pain ◽  
Video Recording ◽  
Tumor Resection ◽  
Spinal Tumors ◽  
Minimally Invasive Approach ◽  
En Bloc ◽  
Invasive Approach ◽  
Intradural Extramedullary

Abstract Intradural extramedullary spinal tumors were historically managed through traditional midline approaches. Although conventional laminectomy or laminoplasty provides a wide tumor and spinal cord exposure, they may cause prolonged postoperative neck pain and late kyphosis deformity. Minimally invasive ipsilateral hemilaminectomy preserves midline structures, reduces the paraspinal muscle disruption, and could avoid postoperative kyphosis deformity. A safe tumor resection through this approach could be complicated in large sized or anteromedullary located lesions. We present a surgical video of C3 antero located meningioma removed en bloc through a minimally invasive approach. The patient signed a written consent to publish video, recording, photograph, image, illustration, and/or information about him.

scholarly journals Intradural extramedullary spinal cord tumors: a retrospective study at tertiary referral hospital

2016 ◽  
Vol 30 (1) ◽  
pp. 106-112
Author(s):  
Mangal Govind ◽  
Mittal Radheyshyam ◽  
Sharma Achal ◽  
Gandhi Ashok
Keyword(s):  
Spinal Cord ◽  
Dramatic Improvement ◽  
Tertiary Referral Hospital ◽  
Chi Square ◽  
Duration Of Symptoms ◽  
Intradural Extramedullary ◽  
Spinal Cord Tumours ◽  
Student’S T

Abstract Introduction: Intradural extramedullary (IDEM) spinal cord tumours account two thirds of all intraspinal tumours. The objective of this study was to determine short- and long-term outcomes of surgical patients with IDEM spinal cord tumours, and to see clinical features that could be helpful in management of patients with these lesions (operated by single senior surgeononly). Methods: A retrospective review of 201 operative IDEM spinal cord tumours cases between 1993 and 2014 was performed. Outcomes were scored at one month and at mean follow-up of 8.5 months postoperatively. In addition, patient demographics, tumour types and locations were also collected. Statistical analysis was conducted utilizing Chi-square and Student's t-tests. Results: There were 93 men and 108 women (mean age 48 yrs, range 5-87 yrs). Men presented at a younger age than women (42 vs 51 yrs, P<0.02). 165 (82.08 %) patients presented with severe radiculopathy and myelopathy. The 36 (17.91 %) had symptoms of radiculopathy. Mean duration of symptoms prior to diagnosis was 11 months. Schwannomas (113 patients) had the longest mean duration of symptoms (14.9 months), followed by meningiomas (68 patients, 8.4 months), and ependymomas (20 patients, 2 months). Hundred and eighty nine (94%) of patients demonstrated significant improvement at one-month and 186 (92%) at 6-month mean follow-up. Only 39/201 (19.4%) patients had residual focal deficits on long term follow-up. Conclusions: Surgery for IDEM should be expected to produce significant and dramatic improvement in most of patients. Demographic, tumor-specific and anatomic considerations will be clinically useful while managing IDEM.

scholarly journals P.137 Use of intravenous fluorescein for intra-operative localization of an intramedullary spinal cord tumour; a technical note

2018 ◽  
Vol 45 (s2) ◽  
pp. S52-S52
Author(s):  
JT Adams ◽  
M Hong ◽  
S Christie ◽  
S Barry
Keyword(s):  
Spinal Cord ◽  
High Grade Glioma ◽  
Technical Note ◽  
Intramedullary Tumor ◽  
High Grade ◽  
Intramedullary Spinal Cord ◽  
Intramedullary Lesion ◽  
Multiple Biopsies ◽  
Spinal Cord Tumours ◽  
Spine Tumour

Background: Localization of intramedullary spine tumors can be difficult. Various intraoperative aids have previously been described, but have limited use due to expense, complexity, and time. Intravenous fluorescein is an inexpensive and safe drug that may be useful in the localization of such tumors. We describe a technical description of the intra-operative use of fluorescein as an aid in the localization of a intramedullary spine tumour. Methods: In this technical report, the authors present a case example of a 56 year old man presenting with a intramedullary tumor at the level of C5/6. Intra-operatively intravenous Fluorescein was administered and the Pentero microscope BLUE™ 400 feature was used to accurately identify the lesion. Multiple biopsies of the fluorescent tissue were taken. Results: After 10 cardiac cycles the fluorescent coloring was isolated to what was thought to be the intramedullary lesion. Our myelotomy was made based on the uptake of this fluorescent coloring and multiple biopsies were taken. Final pathology confirmed this tissue was consistent with a high grade glioma. Conclusions: The use of intravenous fluorescein was a valuable aid in localizing the lesion and minimizing the size of our myelotomy. The use of intravenous fluorescein to localize high grade intramedullary spinal cord tumours appears to be safe, accurate, and inexpensive.

Nonsurgical Rhinoplasty: A Technical Note

2021 ◽  
pp. 074880682199015
Author(s):  
Ian S. Lehrer ◽  
Joe Niamtu
Keyword(s):  
Hyaluronic Acid ◽  
Minimally Invasive ◽  
Cosmetic Surgery ◽  
Recovery Time ◽  
Technical Note ◽  
Dermal Fillers ◽  
Facial Surgery ◽  
Before And After ◽  
Application Potential ◽  
Invasive Techniques

Cosmetic facial surgery procedures and therapies have continued to evolve with an emphasis on minimally invasive techniques with a shorter recovery time. We present a how-to guide for nonsurgical rhinoplasty including the use of different hyaluronic acid fillers. We provide examples of before and after patient photos as well as photos demonstrating our technique. This technical note highlights the popular concept of minimally invasive nasal contouring using dermal fillers. As such, we provide a brief overview of different dermal fillers that can be used for this application, potential problems and complications, as well as remedies. Dermal fillers have become an entry point into cosmetic surgery for many patients. Our technique of nasal contouring with hyaluronic acid fillers in particular yields safe, effective, and repeatable results.

scholarly journals Minimally invasive spinopelvic “crab-shaped fixation” for unstable pelvic ring fractures: technical note and 16 case series

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Akinori Okuda ◽  
Naoki Maegawa ◽  
Hiroaki Matsumori ◽  
Tomohiko Kura ◽  
Yasushi Mizutani ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pelvic Ring ◽  
Case Series ◽  
Technical Note ◽  
Pelvic Ring Fractures
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