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Intradural Intramedullary Cervicothoracic Tumor With Long-Segmental Localization: A Case Report With Step-by-Step
Askin E Hasturk1, Teoman Etikcan, Suat Canbay
1Department of Neurosurgery, Oncology Education and Research Hospital, Ankara, Turkey.
Clinical Spine Surgery
|March 22, 2017
Summary
Ependymomas, the most common spinal cord gliomas, can present with extensive vertebral involvement. This study details surgical principles for excising a long-segment cervicothoracic ependymoma.
Area of Science:
- Neurosurgery
- Spinal Oncology
- Neuropathology
Background:
- Ependymomas are the most frequent gliomas affecting the spinal cord, particularly in the conus medullaris and lower regions.
- While typically localized, some ependymomas exhibit extensive rostral extension, spanning multiple vertebral segments.
Observation:
- This study presents a case of an intradural intramedullary cervicothoracic ependymoma characterized by long-segmental localization.
- The tumor's significant extension necessitated careful surgical planning.
Findings:
- The case highlights the variability in ependymoma presentation and extent.
- Surgical options for posterior spinal approaches include laminectomy, laminectomy with lateral mass screw-plate fixation, and laminoplasty, chosen based on factors like tumor size and spinal deformity.
Implications:
- Understanding the surgical principles for complex, long-segment spinal ependymomas is crucial for neurosurgeons.
- Effective surgical excision, guided by detailed anatomical understanding and appropriate techniques, is key to managing these challenging tumors.
