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Updated: Jun 13, 2025
Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Intradural extramedullary cervical cavernoma
Ghassen Gader1, Wiem Mansour1, Mohamed Ali Kharrat1
1Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Background:
Spinal cavernomas (SCs) account for about 5% of all spinal vascular malformations. Intradural SCs occur in just 3% of cases and are typically intramedullary.
Case Description:
A 58-year-old female presented with progressive left occipital neuralgia, left cervicobrachial neuralgia, and paresthesia of all four extremities. The magnetic resonance imaging (MRI) revealed an intradural extramedullary C2-C4 lesion causing significant spinal cord compression. Gross total tumor excision was accomplished through a midline laminectomy pathologically; the lesion proved to be a cavernoma. The postoperative follow-up MRI obtained 4 months postoperatively showed complete tumor resection.
Conclusion:
A 58-year-old female successfully underwent gross total excision of a C2-C4 intradural extramedullary SC.
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