Dumbbell C2 Neurofibroma with CVJ extension in NF1 patient Case report
Abstract
Spinal neurofibromas are the most prevalent group of spinal tumors. They occur sporadically or in association with Neurofibromatosis type-1. A neurofibromas developing a dumbbell tumor with CVJ extension is a situation which is quite often seen. Surgical intervention is indicated when myelopathy and motor deficits develop in the case of paraspinal neurofibromas. The goal of surgery is total removal of the tumor. However, in selected cases partial removal of the tumor with adequate spinal cord decompression can be preferred to prevent severe complications such as vertebral artery injury. We present a case of Dumbbell C2 Neurofibroma with CVJ extension that was in close relation with the vertebral artery
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Cusick JF, Yoganandan N, Pintar F, Myklebust J, Hussain H. Biomechanics of cervical spine facetectomy and fixation techniques. Spine 1988; 13:808-12.
Hakuba A, Komiyama M, Tsujimoto T, Ahnm S, Nishimura S, Ohta T, Kitano H. Transuncodiscal approach to dumbbell tumors of the cervical spinal canal. J Neurosurg 1984; 61:1100-6.
Hirsch NP, Murphy A, Radcliffe JJ. Neurofibromatosis: Clinical presentations and anaesthetic implications. Br J Anaesth 2001; 86:555-64.
Jung MH, Lee SK, Song KY, Kang DS. Staged Operation of a Dumbbell-Shaped Schwannoma in High Cervical Region. JKNS 2003; 33(2):204-47
Keles E, Ozer AF. Intrameduller ve ekstrameduller omurilik tumorleri. In: Zileli M, Ozer AF, eds. Omurilik ve Omurga Cerrahisi, 2nd. Izmir, 2002: 1113-9.
Khong PL, Goh WH, Wong VC, Fung CW, Ooi GC. MR imaging of spinal tumors in children with neurofibromatosis 1. AJR Am J Roentgenol 2003; 180:413-7.
Lee M, Rezai AR, Freed D, Epstein FJ. Intramedullary spinal cord tumours in neurofibromatosis. Neurosurgery 1996; 38:32-7.
Levy WJ Jr, Latchaw J, Hahn JF. Spinal neurofibromas: a report of 66 cases and a comparison with meningiomas. Neurosurgery 1986; 18:331-4.
McCormick PC. Anatomic principles of intradural spinal surgery. Clin Neurosurg 1994; 41:204-23.
McCormick PC. Surgical management of dumbbell tumors of the cervical spine. Neurosurgery 1996; 38(2):294-300.
McCormick PC, Post KD, Stein BM. Intradural extramedullary tumors in adults. Neurosurg Clin North Am 1990; 1:591-608.
Schultheiss R, Gulotta G. Resection of relevant nerve roots in surgery of spinal neurinomas without persisting neurological deficit. Acta Neurochir (Wien) 1993; 122:91-6.
Sen C, Eisenberg M, Casden AM, Sundaresan N, Catalano PJ. Management of the vertebral artery in excision of extradural tumors of the cervical spine. Neurosurgery 1995; 36:106-16.
Seppala MT, Laltia MJJ, Sankila RJ, Jaaskelainen JE, Heiskanen O. Long-term outcome after removal of spinal neurofibroma. J Neurosurg 1995; 82:572-7.
Shu HH, Mirowitz SA, Wippold II FJ. Neurofibromatosis: MR imaging findings involving the head and spine. AJR Am J Roentgenol 1993; 160:159-64.
Yagi T, Ohata K, Haque M, Hakuba A. Intramedullary spinal cord tumour associated with neurofibromatosis type 1. Acta Neurochir (Wien) 1997; 139:1055-60
Youmans Neurological surgery 6th edition 4 vol
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