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[A case involving complete removal of C2 dumbbell type neurinoma with preservation of the surrounding supportive tissue].
No Shinkei Geka. 2005 Nov; 33(11):1089-93.NS

Abstract

We report a case in which C2 neurinoma was completely removed with preservation of the surrounding supportive tissue. A 47-year-old female was admitted to our hospital with gait disturbance and spinal tumor identified in other hospital. Neurological examination on admission revealed hyperreflexia in bilateral limbs and pathological reflexes. Cervical plain X-radiography showed erosion of the left C2 lamina. Axial Gd-enhanced T1 weighted magnetic resonance (MR) images showed partial enhancement of a dumbbell shaped tumor at the C1-2 level, revealing compression of the spinal cord to the right and extending to postero-laterally, and coronal MR images demonstrated that the tumor was clearly surrounded by the semispinalis capitis, semispinalis cervicis and inferior oblique muscles. The tumor was resected through a posterior approach without injuring the surrounding supportive tissue. Post operatively, she did not complain of nuchal pain during neck movement. After a 6-month follow-up period, cervical plain X-radiography showed preservation of cervical alignment, and coronal Gd-enhanced T1-weighted MR images demonstrated preservation of the posterior group of cervical muscles. It is desirable to preserve the surrounding supportive tissue as far as possible in order to minimize the postoperative neck pain and instability of cervical spine, like this case.

Authors+Show Affiliations

Inoue A
Department of Neurosurgery, Ehime University School of Medicine, Shitsukawa, Toon-shi, Ehime 791-0295, Japan.
Ohue S
No affiliation info available
Kumon Y
No affiliation info available
Iwata S
No affiliation info available
Matsui S
No affiliation info available
Ohnishi T
No affiliation info available

MeSH

Cervical VertebraeFemaleHumansLaminectomyMagnetic Resonance ImagingMicrosurgeryMiddle AgedNeurilemmomaNeurosurgical ProceduresSpinal Cord NeoplasmsSpinal Nerve Roots

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

16277222

Citation

Inoue, Akihiro, et al. "[A Case Involving Complete Removal of C2 Dumbbell Type Neurinoma With Preservation of the Surrounding Supportive Tissue]." No Shinkei Geka. Neurological Surgery, vol. 33, no. 11, 2005, pp. 1089-93.
Inoue A, Ohue S, Kumon Y, et al. [A case involving complete removal of C2 dumbbell type neurinoma with preservation of the surrounding supportive tissue]. No Shinkei Geka. 2005;33(11):1089-93.
Inoue, A., Ohue, S., Kumon, Y., Iwata, S., Matsui, S., & Ohnishi, T. (2005). [A case involving complete removal of C2 dumbbell type neurinoma with preservation of the surrounding supportive tissue]. No Shinkei Geka. Neurological Surgery, 33(11), 1089-93.
Inoue A, et al. [A Case Involving Complete Removal of C2 Dumbbell Type Neurinoma With Preservation of the Surrounding Supportive Tissue]. No Shinkei Geka. 2005;33(11):1089-93. PubMed PMID: 16277222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case involving complete removal of C2 dumbbell type neurinoma with preservation of the surrounding supportive tissue]. AU - Inoue,Akihiro, AU - Ohue,Shiro, AU - Kumon,Yoshiaki, AU - Iwata,Shinji, AU - Matsui,Seishi, AU - Ohnishi,Takanori, PY - 2005/11/10/pubmed PY - 2005/12/13/medline PY - 2005/11/10/entrez SP - 1089 EP - 93 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 33 IS - 11 N2 - We report a case in which C2 neurinoma was completely removed with preservation of the surrounding supportive tissue. A 47-year-old female was admitted to our hospital with gait disturbance and spinal tumor identified in other hospital. Neurological examination on admission revealed hyperreflexia in bilateral limbs and pathological reflexes. Cervical plain X-radiography showed erosion of the left C2 lamina. Axial Gd-enhanced T1 weighted magnetic resonance (MR) images showed partial enhancement of a dumbbell shaped tumor at the C1-2 level, revealing compression of the spinal cord to the right and extending to postero-laterally, and coronal MR images demonstrated that the tumor was clearly surrounded by the semispinalis capitis, semispinalis cervicis and inferior oblique muscles. The tumor was resected through a posterior approach without injuring the surrounding supportive tissue. Post operatively, she did not complain of nuchal pain during neck movement. After a 6-month follow-up period, cervical plain X-radiography showed preservation of cervical alignment, and coronal Gd-enhanced T1-weighted MR images demonstrated preservation of the posterior group of cervical muscles. It is desirable to preserve the surrounding supportive tissue as far as possible in order to minimize the postoperative neck pain and instability of cervical spine, like this case. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/16277222/[A_case_involving_complete_removal_of_C2_dumbbell_type_neurinoma_with_preservation_of_the_surrounding_supportive_tissue]_ DB - PRIME DP - Unbound Medicine ER -