How I do it: resection of spinal cord cavernous malformation
- PMID: 35764695
- DOI: 10.1007/s00701-022-05269-9
How I do it: resection of spinal cord cavernous malformation
Abstract
Background: Spinal cord cavernous malformations (CMs) account for 5 to 12% of all spinal vascular malformations. Surgical removal is indicated in symptomatic patients, especially if the CM comes close to the dorsal or lateral surface of the spinal cord. Spinal cord CMs pose critical challenges for the potential of severe disabling complications.
Method: We described the step-by-step surgical principles of spinal cord CM microsurgical resection. The main surgical steps are also illustrated in an accompanying operative video.
Conclusion: Pre-surgical planning of the basic steps and good contingency management skills are paramount for an effective and safe spinal cord CM excision.
Keywords: 2-Dimensional operative video; Cavernous malformation; Cervical; Spinal cord; Step-by-step surgery.
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
References
-
- Azad TD, Veeravagu A, Li A, Zhang M, Madhugiri V, Steinberg GK (2018) Long-term effectiveness of gross-total resection for symptomatic spinal cord cavernous malformations. Neurosurgery 1(83):1201–1208 - DOI
-
- Bian LG, Bertalanffy H, Sun QF, Shen JK (2009) Intramedullary cavernous malformations: clinical features and surgical technique via hemilaminectomy. Clin Neurol Neurosurg 111:511–517 - DOI
-
- Cohen-Gadol AA, Jacob JT, Edwards DA, Krauss WE (2006) Coexistence of intracranial and spinal cavernous malformations: a study of prevalence and natural history. J Neurosurg 104:376–381 - DOI
-
- Goyal A, Rinaldo L, Alkhataybeh R, Kerezoudis P, Ali Alvi M, Flemming KD, Williams L, Diehn F, Bydon M (2019) Clinical presentation, natural history and outcomes of intramedullary spinal cord cavernous malformations. J Neurol Neurosurg Psychiatry 90:695–703 - DOI
-
- Gross BA, Du R, Popp AJ, Day AL (2010) Intramedullary spinal cord cavernous malformations. Neurosurg Focus 29:E14 - DOI
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