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High Cervical Ependymoma Resection: 2-Dimensional Operative Video
Simone E Dekker1, Chad A Glenn1, Thomas A Ostergard1
1Department of Neurological Surgery, Neurological Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Ohio.
Operative Neurosurgery (Hagerstown, Md.)
|August 15, 2018
Summary
This video shows the successful resection of a cervical ependymoma, a spinal cord tumor, using posterior cervical laminoplasty. The procedure resulted in gross total resection with no complications and good long-term outcomes.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Oncology
Background:
- Cervical ependymomas are rare spinal cord tumors.
- Symptoms include extremity numbness and ataxia.
- MRI is crucial for diagnosis.
Purpose of the Study:
- To illustrate the surgical resection of a C2-3 cervical ependymoma.
- To highlight the management of spinal ependymomas.
Main Methods:
- Posterior cervical laminoplasty with C1 laminectomy.
- Tumor resection via ultrasonic aspiration and microdissection.
- Osteoplastic reconstruction with titanium plates and screws.
Main Results:
- Gross total resection of WHO grade II ependymoma achieved.
- No intraoperative or postoperative complications.
- Uneventful recovery with preserved strength and minor sensory deficit.
Conclusions:
- Posterior cervical laminoplasty is an effective surgical approach for cervical ependymomas.
- Gross total resection is feasible and associated with favorable outcomes.
- Multidisciplinary management is key for spinal tumor patients.
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