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Large ventrally located spinal meningiomas are typically resected via a posterolateral or lateral approach. Optimal outcomes are associated with good preoperative functional status (i.e., modified McCormick grade < 4), while recurrence rates may be predicted by degree and quality of resection (i.e., low Simpson grade). This video describes the operative techniques for resection of a large ventral C2 intradural extramedullary meningioma in a 71-year-old male presenting with hemibody sensory loss and abnormal gait. A paramedian approach was performed, allowing for adequate exposure and gross-total resection. The patient was discharged on postoperative day 2 and showed near-complete resolution of sensory deficits.
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http://dx.doi.org/10.3171/2023.7.FOCVID2351 | DOI Listing |
JFMS Open Rep
September 2025
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
Case Summary: A 10-year-old female spayed domestic shorthair cat was evaluated for a 6-week history of abnormal tail carriage and constipation. Examination revealed tail paresis and pain over the lumbosacral and sacrocaudal articulations and on tail manipulation. MRI revealed a contrast-enhancing mass within the vertebral canal over the lumbosacral disc space, compressing the cauda equina.
View Article and Find Full Text PDFCureus
July 2025
Department of Pathology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, MYS.
Schwannomas are benign, well-encapsulated tumors arising from Schwann cells, which are responsible for the myelination of peripheral and central nerves. This report highlights a rare incidence of a T4 thoracic schwannoma with right paraspinal extension into the thoracic cavity. A 77-year-old woman presented with bilateral lower limb weakness; MRI revealed a T3-T5 intradural extramedullary lesion extending from the spinal canal into the right posterior mediastinum.
View Article and Find Full Text PDFJ Clin Neurosci
August 2025
Department of Neurosurgery, General Hospital of Fortaleza, Fortaleza, Ceará, Brazil.
Background: Spinal lipomas are defined by the premature separation of the neural ectoderm from the cutaneous ectoderm during primary neurulation. Non-dysraphic extramedullary intradural spinal lipoma (N-DEISL) represents less than 1% of spinal tumors. This study aims to analyze the anatomical and clinical presentations, and treatment strategies of N-DEISL in adults.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
August 2025
Department of Neurosurgery, Brown University Health, Providence, Rhode Island.
Background: Multiple myeloma (MM) and plasmacytoma metastases to the spine are extremely rare, with 9 cases reported in the literature. Only 2 describe cases of solitary plasmacytoma (SP) specifically in the cervical spine, both in patients without known histories of MM. Therefore, the natural history of MM recurrence as SP in the cervical spine remains unknown.
View Article and Find Full Text PDFBrain Spine
August 2025
Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Introduction: Full-endoscopic spinal surgery (monoportal endoscopy) has emerged as a minimally invasive alternative for managing intradural spinal pathologies, offering reduced morbidity and accelerated recovery compared to conventional techniques.
Research Question: What is the current evidence on the effectiveness, limitations, and future prospects of full-endoscopic spinal surgery for intradural pathologies?
Material And Methods: A systematic review following PRISMA guidelines was conducted. Electronic databases (Cochrane, OVID-MEDLINE, PubMed, Embase, Web of Science, Scopus) were searched for studies published from 2000 to 2024.