Resection of Bilateral C1 Neurofibromas Using a Unilateral Modified Far-Lateral Approach
نویسندگان
چکیده
Resection of foramen magnum lesions through a lateral approach can be technically challenging. Surgical avenues to foramen magnum lesions include a suboccipital craniectomy with C1 laminectomy, a modified far lateral approach with little condylar drilling, or via an anterior approach. The authors report their surgical experience in the treatment of a 36-yearold male with bilateral C1 dumbbell neurofibromas using a unilateral modified far-lateral approach (no condylar drilling performed). The unilateral modified far-lateral approach allowed for an efficient and safe corridor to this patient's bilateral foramen magnum tumors. Categories: Neurosurgery
منابع مشابه
Biomechanical Evaluation of Unilateral Versus Bilateral C1 Lateral Mass-C2 Intralaminar Fixation
STUDY DESIGN Biomechanical, cadaveric study. OBJECTIVES To compare the relative stiffness of unilateral C1 lateral mass-C2 intralaminar fixation to intact specimens and bilateral C1 lateral mass-C2 intralaminar constructs. METHODS The biomechanical integrity of a unilateral C1 lateral mass-C2 intralaminar screw construct was compared to intact specimens and bilateral C1 lateral mass-C2 intr...
متن کاملMinimally invasive lateral extracavitary resection of foraminal neurofibromas.
Nerve sheath tumors are the most common spinal tumors but extradural foraminal nerve sheath tumors are much rarer. Traditionally, these nerve sheath tumors have been resected via an open posterior approach. We describe an alternative minimally invasive (MIS) lateral extracavitary approach for resection of symptomatic extradural foraminal spinal neurofibromas. We describe three consecutive male ...
متن کاملSurgical management of residual or recurrent esotropia following maximal bilateral medial rectus recession.
OBJECTIVE To describe the effect of graded unilateral vs bilateral lateral rectus resection in the treatment of residual or recurrent esotropia after maximal medial rectus muscle recession. METHODS Retrospective case series of children with residual or recurrent esotropia. All children underwent initial eye muscle surgery for angles of 40 to 60 prism diopters (medial rectus recession of 5.5-6...
متن کاملC2 Nerve Root Resection to Achieve Safe and Wide Exposure of Lateral Atlantoaxial Joints in Posterior C1-2 Instrumented Fixation: Technical Note
Posterior atlantoaxial (C1-2) fixation with individual screw placement in C1 and C2 has been one of the technical options to treat C1-2 subluxation or instability. In the present study, we demonstrate the surgical technique of C2 nerve root resection to avoid the troublesome bleeding from the perivertebral venous plexus and achieve full exposure of the lateral C1-2 joints. The present study inc...
متن کاملHydrocephalus Following Bilateral Dumbbell-Shaped C2 Spinal Neurofibromas Resection and Postoperative Cervical Pseudomeningocele in a Patient with Neurofibromatosis Type 1: A Case Report
Study Design Case report. Objective To present a rare case of hydrocephalus following bilateral dumbbell-shaped C2 spinal neurofibromas resection and postoperative cervical pseudomeningocele in a patient with neurofibromatosis type 1 (NF1). Methods The patient's clinical course is retrospectively reviewed. A 37-year-old man affected by NF1 referred to our department for progressive weakness of ...
متن کامل