scholarly journals Spontaneous Regression of an Incidental Spinal Meningioma

2015 ◽  
Vol 4 (1) ◽  
pp. 128-130 ◽  
Author(s):  
Ali Yilmaz ◽  
Zahir Kizilay ◽  
Ahmet Sair ◽  
Mucahit Avcil ◽  
Ayca Ozkul
Keyword(s):  
Spinal Cord ◽  
Surgical Approach ◽  
Spontaneous Regression ◽  
Cervical Spinal Cord ◽  
Rare Condition ◽  
Spinal Meningioma

AIM: The regression of meningioma has been reported in literature before. In spite of the fact that the regression may be involved by hemorrhage, calcification or some drugs withdrawal, it is rarely observed spontaneously.CASE REPORT: We report a 17 year old man with a cervical meningioma which was incidentally detected. In his cervical MRI an extradural, cranio-caudal contrast enchanced lesion at C2-C3 levels of the cervical spinal cord was detected. Despite the slight compression towards the spinal cord, he had no symptoms and refused any kind of surgical approach. The meningioma was followed by control MRI and it spontaneously regressed within six months. There were no signs of hemorrhage or calcification. CONCLUSION: Although it is a rare condition, the clinicians should consider that meningiomas especially incidentally diagnosed may be regressed spontaneously.

scholarly journals Posterior Surgical Approach for Ventral Cervical Spinal Cord Herniation: 2-Dimensional Operative Video

2020 ◽  
Author(s):  
Anthony Diaz ◽  
S Shelby Burks ◽  
Richard Fisher ◽  
Allan D Levi
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Surgical Approach ◽  
Anterior Approach ◽  
Cervical Spinal Cord ◽  
Rare Condition ◽  
Residual Tumor ◽  
Neurological Deficits ◽  
Dural Defect ◽  
Spinal Cord Herniation

Abstract Spinal cord herniation (SCH) is a rare condition that is typically of idiopathic origin. Although SCH is mostly found in the thoracic region because of a dural defect, there are some reports of cervical SCH following surgery or trauma.1-3 Spinal cord tethering can be a result of SCH or as a standalone issue.4,5 These conditions can lead to progressive neurological deficits, including numbness, gait disturbances, and decreased muscle strength, requiring surgical correction. There are limited reports of surgical procedures for ventral SCHs. Several reports exist using a ventral approach for intradural tumors, but it is not commonly employed because of the inability to obtain adequate dural closure.6 Much of the literature on SCH comes from idiopathic and congenital cases in the thoracic spine.7,8 Posterior and posterolateral approaches for a ventral thoracic SCH have been described, as well as an anterior approach for a ventral cervical SCH.9-12 In this video, we describe a posterior approach for a ventral cervical SCH. A 38-yr-old male presented with progressive cervical myelopathy 9 yr after a C2-C3 schwannoma resection requiring an anterior approach and corpectomy of C3 with partial corpectomies of C2 and C4. A preoperative magnetic resonance imaging showed a ventrally herniated spinal cord at the top of the C3 vertebral body and below the C4 vertebral body. Informed consent was obtained. The posterior surgical approach involved a C1-C5 laminectomy, sectioning the dentate ligament, ventral cord untethering, removal of residual tumor, and placement of a ventral sling. A significant improvement in sensory and motor function was observed postoperatively.

Resection of a ventral intramedullary cervical spinal cord cavernous malformation through an anterior approach

2014 ◽  
Vol 37 (v2supplement) ◽  
pp. Video18 ◽  
Author(s):  
Alexander G. Weil ◽  
Sanjiv Bhatia
Keyword(s):  
Spinal Cord ◽  
Surgical Approach ◽  
Anterior Approach ◽  
Posterior Approach ◽  
Cavernous Malformation ◽  
Cervical Spinal Cord ◽  
Pediatric Population ◽  
Complete Resection ◽  
Surgical Access ◽  
Partial Corpectomy

Ventrally-located intramedullary cervical spinal cord cavernomas are rare entities in the pediatric population. Surgical access to these lesions is challenging. The authors present the complete resection of a symptomatic ventral cervical intramedullary cavernoma through an anterior approach in a 15-year-old boy. The lesion was accessed following left anterolateral dissection, C3–4 discectomy and C3/C4 partial corpectomy. The authors will discuss the rationale for intervening in this patient and for selecting this anterior approach over other approaches, such as the anterolateral, posterolateral or posterior approach. The steps, pitfalls and pearls of this surgical approach will be demonstrated in a detailed video.The video can be found here: http://youtu.be/-ARTp6g13hgs.

Combined Transoral and Median Labiomandibular Glossotomy Approach to the Upper Cervical Spine

Neurosurgery ◽  
1981 ◽  
Vol 8 (6) ◽  
pp. 672-674 ◽  
Author(s):  
Ehud Arbit ◽  
Russel H. Patterson
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Cervical Spinal Cord ◽  
Transoral Approach ◽  
Direct Approach ◽  
Upper Cervical Spine ◽  
Functional Loss ◽  
Upper Cervical

abstract A surgical approach to the clivus and anterior spine from C-1 to the upper part of C-5 is described. It is a direct approach that provides a wider and longer exposure than does the transoral approach. Despite the seemingly radical incision, the cosmetic deformity and functional loss are minimal. This approach is useful for the surgical treatment of a variety of processes that are situated ventral to the upper cervical spinal cord and the cervicomedullary junction.

Spinal cord meningioma

1982 ◽  
Vol 57 (6) ◽  
pp. 804-812 ◽  
Author(s):  
Walter J. Levy ◽  
Janet Bay ◽  
Donald Dohn
Keyword(s):  
Spinal Cord ◽  
Surgical Approach ◽  
Clinical Presentation ◽  
Tumor Location ◽  
Spinal Meningioma ◽  
Content Type ◽  
High Incidence ◽  
Almost All ◽  
Cervical Tumors ◽  
Fine Print

✓ The authors present a retrospective analysis of 97 cases of spinal meningioma. Age, sex, tumor location, and clinical presentation are similar to that reported by others. Importantly, even among paraplegic patients, one-third eventually walked. Other findings of note were poor results among those with calcified or recurrent tumors, and a high incidence of invasiveness among the rare epidural lesions. Males do not show the preference for a thoracic location that is found among females, and cervical tumors are almost all anterior to the cord. This last point suggests a different surgical approach in some cases. A large percentage of cases carried other diagnoses before tumor was recognized.

scholarly journals Use of Fidji Cervical Cage in the Treatment of Cervical Spinal Cord Injury without Radiographic Abnormality

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Sheng-Li Huang ◽  
Hong-Wei Yan ◽  
Kun-Zheng Wang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Symptoms ◽  
Cervical Spinal Cord ◽  
Rare Condition ◽  
X Rays ◽  
Neurological Outcomes ◽  
Radiographic Abnormality ◽  
Cord Injury ◽  
Disc Injury

Spinal cord injury without radiographic abnormality (SCIWORA) is a rare condition seen in adults. Many interbody fusion cages have been developed for its treatment, but clinical studies of Fidji cervical cage are still scarce. A total number of five patients (four male and one female) were reviewed. The ages of the patients ranged from 40 to 60 years. All the patients underwent neurological and radiological examinations. Neurological and functional outcomes were assessed on the basis of Frankel’s grade. Three of the patients were Frankel B, and the rest two were Frankel C. Magnetic resonance imaging was also performed for the evaluation of spinal cord and intervertebral disc injury. Anterior cervical discectomy and Fidji cervical cage fusion were performed for all. The fusion status was evaluated on the basis of X-rays. After surgical intervention, the clinical symptoms improved for all the patients. The disc interspaces in all the patients achieved solid union at final follow-up. Fidji cervical cage is very efficient in achieving cervical fusion in patients with SCIWORA. There are few complications associated with the use of this cage, and the functional and neurological outcomes are satisfactory.

Alterations in the number of motoneurons containing immunoreactive calcitonin gene-related peptide(CGRP)& choline acetyltransferase(ChAT) in the cervical spinal cord of the wobbler mouse during the development of the motoneuron disease

1995 ◽  
Vol 53 ◽  
pp. 970-971
Author(s):  
L. Vacca-Galloway ◽  
Y.Q. Zhang ◽  
P. Bose ◽  
S.H. Zhang
Keyword(s):  
Spinal Cord ◽  
Early Stage ◽  
Cervical Spinal Cord ◽  
Wild Type Mouse ◽  
Reflex Response ◽  
Mouse Strains ◽  
Behavioral Tests ◽  
Wobbler Mouse ◽  
Stage 4 ◽  
Stage 1

The Wobbler mouse (wr) has been studied as a model for inherited human motoneuron diseases (MNDs). Using behavioral tests for forelimb power, walking, climbing, and the “clasp-like reflex” response, the progress of the MND can be categorized into early (Stage 1, age 21 days) and late (Stage 4, age 3 months) stages. Age-and sex-matched normal phenotype littermates (NFR/wr) were used as controls (Stage 0), as well as mice from two related wild-type mouse strains: NFR/N and a C57BI/6N. Using behavioral tests, we also detected pre-symptomatic Wobblers at postnatal ages 7 and 14 days. The mice were anesthetized and perfusion-fixed for immunocytochemical (ICC) of CGRP and ChAT in the spinal cord (C3 to C5).Using computerized morphomety (Vidas, Zeiss), the numbers of IR-CGRP labelled motoneurons were significantly lower in 14 day old Wobbler specimens compared with the controls (Fig. 1). The same trend was observed at 21 days (Stage 1) and 3 months (Stage 4). The IR-CGRP-containing motoneurons in the Wobbler specimens declined progressively with age.

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