SURGICAL VIDEO Resection of 2 Intradural Extramedullary Cervical Spine Tumors in a Patient With Neurofibromatosis Type 2: 3-Dimensional Operative Video Simone E. Dekker, MD, PhD, Chad A. Glenn, MD, Thomas A. Ostergard, MD, Osmond C. Wu, MD, Fernando Alonso, MD, Jonathan A. Pace, MD, Brian D. Rothstein, MD, Abhishek Ray, MD, Nicholas C. Bambakidis, MD Watch now at https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy149 Department of Neurological Surgery, Neurological Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio Correspondence: Simone E. Dekker, MD, PhD, Department of Neurological Surgery, Case Western Reserve University, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106. E-mail: Simone.firstname.lastname@example.org This 3-dimensional operative video illustrates resection strated in the operative video. After meticulous dissection, of 2 cervical spine schwannomas in a 19-yr-old female the tumors were resected without complication. The with neurofibromatosis type 2. The patient presented dural closure was performed in watertight fashion with lower extremity hyperreflexity and hypertonicity. followed by laminoplasty using osteoplastic titanium Magnetic resonance imaging (MRI) demonstrated 2 miniplates and screws. Postoperative MRI demon- contrast-enhancing intradural extramedullary cervical strated gross total resection with excellent decom- spine lesions causing spinal cord compression at C4 pression of the spinal cord. The postoperative course and C5. The patient underwent a posterior cervical was uneventful. The natural history of this disease, laminoplasty with a midline dural opening for tumor treatment options, and potential complications are resection. Curvilinear spine cord compression is demon- discussed. KEY WORDS: 3D video, NF2, Cervical spine tumor Operative Neurosurgery 0:1, 2018 DOI:10.1093/ons/opy149 Received, January 4, 2018. Accepted, April 15, 2018. Disclosure schwannomas and/or neurofibromas are usually among the easier spinal cord tumors to resect, this case is interesting as it describes The authors have no personal, financial, or institutional interest in any of the rare bilateral tumor occurrence and microsurgical resection. The drugs, materials, or devices described in this article. authors should be commended for a nice and elegant video case presentation. Acknowledgment The authors would like to thank Dr Mark Cohen, Neuropathologist at Kenan Arnautovic University Hospitals Cleveland Medical Center for obtaining the photomicro- Memphis, Tennessee graphs shown in this video. Domagoj Gajski Zagreb, Croatia COMMENT his video demonstrates the resection of 2 intradural extramedullary tumors in a patient with neurofibromatosis (NF) type 2. Although OPERATIVE NEUROSURGERY VOLUME 0 | NUMBER 0 | 2018 | 1 Downloaded from https://academic.oup.com/ons/advance-article-abstract/doi/10.1093/ons/opy149/5033286 by Ed 'DeepDyve' Gillespie user on 12 July 2018
Operative Neurosurgery – Oxford University Press
Published: Jun 5, 2018
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