Abstract
The paper describes clinical features, diagnosis and treatment of spinal cord tumor localized in the anterior portion of the craniovertebral junction in a 43-years-old patient after a course of stereotactic radiotherapy with the CyberKnife linear accelerator. The surgical treatment included microsurgical total removal of intradural extramedullary tumor at the level of the craniovertebral junction through far lateral approach with neurophysiologic monitoring. Good clinical results achieved in the early postoperative period were presented by restoration of muscle force in the limbs (regression of tetraparesis) and headache relief.
Highlights
The paper describes clinical features, diagnosis and treatment of spinal cord tumor localized in the anterior portion of the craniovertebral junction in a 43-years-old patient after a course of stereotactic radiotherapy with the CyberKnife linear accelerator
Good clinical results achieved in the early postoperative period were presented by restoration of muscle force in the limbs and headache relief
Целью описанного хирургического вмешательства являлось максимально тотальное удаление опухоли при минимальном воздействии на стволовые отделы, спинной мозг и его корешки, магистральные сосуды, без возникновения нового неврологического дефицита, и сохранность костных структур, обеспечивающих стабильность позвоночника
Summary
Менингиома вентральной локализации на уровне краниовертебрального перехода // Хирургия позвоночника. The paper describes clinical features, diagnosis and treatment of spinal cord tumor localized in the anterior portion of the craniovertebral junction in a 43-years-old patient after a course of stereotactic radiotherapy with the CyberKnife linear accelerator. Особенностью хирургического вмешательства при новообразованиях краниовертебрального перехода является адекватный операционный доступ.
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