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| Name | Anterolateral Transforaminal Approach to Dumbbell Schwannoma of the C3 Nerve Root: 3-D Video |
| Video Uploader | Video From NEUROSURGERY Journal |
| Upload Date | This Video Uploaded At 16-09-2014 16:49:33 |
| Video Discription | Cervical dumbbell schwannomas with an extraspinal extension through the intervertebral foramen pose significant challenges for complete resection while avoiding injury to the vertebral artery and preserving the integrity of the cervical spine. Posterior approaches may require an extensive soft-tissue dissection and bone removal with potential spinal instability. Moreover, they offer only a limited access to an extraspinal tumor component that entails an additional anterior approach for complete resection of a dumbbell-shaped lesion. We used an anterolateral transforaminal approach that preserves the bony elements of the intervertebral foramen and offers a comprehensive access to the extraspinal, foraminal and intraspinal/intradural components of a cervical dumbbell tumor. This approach is a less-invasive option to remove selected dumbbell lesions that extend beyond and enlarge the intervertebral foramen, with preservation of the spinal integrity. This 3-D video shows the case of a 35-year-old woman with a 3-month history of progressive, severe cervical and right shoulder pain and numbness in the right arm from a cervical spinal tumor lateral to the spinal cord, and with an extraspinal extension through the enlarged C3 foramen. Through an anterolateral transforaminal approach, the extraspinal tumor was removed by dissecting the plane between the sternocleidomastoid muscle and the internal jugular vein, and then the corridor provided by the enlarged C3 foramen allowed for adequate space for intraspinal tumor dissection, including the intradural component. Postoperative CT scan demonstrated intact bony elements of the C3 segment, and MRI images showed complete tumor removal. The patient had a good postoperative recovery. |
| Category | Science & Technology |
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