Document Detail


Ventrally located cervical intramedullary cavernous angioma: selection of posterior and anterior approaches: case report.
MedLine Citation:
PMID:  19855146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 41-year-old woman presented with a rare cervical intramedullary cavernous angioma manifesting as acute paralysis in her left upper extremity. Magnetic resonance imaging revealed hematomyelia. Laminectomy (C2-C7) was performed, followed by posterior midline myelotomy and removal of the intramedullary hematoma and the tumor. She showed marked improvement after the surgery. However, 3 years and 10 months later the patient showed slight intramedullary bleeding located ventrally at the same level. Anterior approach with corpectomy was performed. Complete removal of the tumor was attained and salvage surgery was performed. Postoperative stabilization was achieved with excellent clinical outcome. The anterior approach is useful method as a salvage surgery for ventrally located cavernous angioma.
Authors:
Kosei Ijiri; Kazutoshi Hida; Shunsuke Yano; Yoshinobu Iwasaki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  49     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-26     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  474-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan. kosei2@m.kufm.kagoshima-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Arm / pathology,  physiopathology
Blood Vessels / pathology
Cervical Vertebrae / anatomy & histology,  surgery
Disease Progression
Female
Hemangioma, Cavernous, Central Nervous System / diagnosis*,  physiopathology,  surgery*
Hematoma / etiology,  pathology,  surgery
Humans
Intraoperative Complications / etiology,  prevention & control
Laminectomy / methods*
Magnetic Resonance Imaging
Methylmethacrylates
Neurosurgical Procedures
Paresis / etiology,  physiopathology
Postoperative Hemorrhage / etiology,  prevention & control,  surgery
Reoperation
Spinal Cord / blood supply,  pathology,  surgery*
Spinal Cord Diseases / diagnosis*,  physiopathology,  surgery*
Spinal Fusion
Treatment Outcome
Vascular Surgical Procedures / methods
Chemical
Reg. No./Substance:
0/Methylmethacrylates; 0/vertebroplastic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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