CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 759-762
DOI: 10.4103/ajns.AJNS_252_19
Case Report

Minimally invasive anterolateral approach for C2 neurofibroma in elderly patient

Raghavendra Sharma
Department of Neurosurgery, AIIMS, Raipur, Chhattisgarh
,
Yashuhiro Yamada
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Riki Tanaka
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Saurabh Sharma
2   Department of Neurosurgery, Max Hospital, Patparganj, New Delhi
,
Kyosuke Miyatani
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Saeko Higashiguchi
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Tsukasa Kawase
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Srikanth Talluri
3   Department of Neurosurgery, SVIMS, Tirupati, Andhra Pradesh
,
Yoko Kato
1   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
› Author Affiliations

Conventionally ventrally located spinal tumor is approached through anterior vertebrectomy which requires bony fixation and then immobilization for a couple of months. The alternative route to deal with such type of tumor is anterolaterally to avoid the surgical and nonsurgical complications. We are reporting a minimally invasive anterolateral approach for C2 neurofibroma in an 84-year-old patient. Postoperatively this patient did not require cervical brace and postoperative discomfort was minimal. It was observed that dumbbell-shaped cervical tumor with no intradural pathology and wide neural foramina could also be taken care through the anterolateral route which did not require bony fusion or immobilization, but the expertise of the surgeon is necessary for performing these types of minimally invasive procedure to achieve the best results.

Financial support and sponsorship

Nil.




Publication History

Received: 10 August 2019

Accepted: 04 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Chamberlain MC, Tredway TL. Adult primary intradural spinal cord tumors: A review. Curr Neurol Neurosci Rep 2011;11:320-8.
  • 2 Donner TR, Voorhies RM, Kline DG. Neural sheath tumors of major nerves. J Neurosurg 1994;81:362-73.
  • 3 Safaee MM, Lyon R, Barbaro NM, Chou D, Mummaneni PV, Weinstein PR, et al. Neurological outcomes and surgical complications in 221 spinal nerve sheath tumors. J Neurosurg Spine 2017;26:103-11.
  • 4 Heuer GJ. The so-called hour-glass tumors of the spine. Arch Surg 1929;18:935-81.
  • 5 Mathers CD, Sadana R, Salomon JA, Murray CJ, Lopez AD. Healthy life expectancy in 191 countries, 1999. Lancet 2001;357:1685-91.
  • 6 Fogelholm R, Uutela T, Murros K. Epidemiology of central nervous system neoplasms. A regional survey in Central Finland. Acta Neurol Scand 1984;69:129-36.
  • 7 Seppälä MT, Haltia MJ, Sankila RJ, Jääskeläinen JE, Heiskanen O. Long-term outcome after removal of spinal schwannoma: A clinicopathological study of 187 cases. J Neurosurg 1995;83:621-6.
  • 8 Jinnai T, Koyama T. Clinical characteristics of spinal nerve sheath tumors: Analysis of 149 cases. Neurosurgery 2005;56:510-5.
  • 9 Conti P, Pansini G, Mouchaty H, Capuano C, Conti R. Spinal neurinomas: Retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 2004;61:34-43.
  • 10 Ozawa H, Kokubun S, Aizawa T, Hoshikawa T, Kawahara C. Spinal dumbbell tumors: An analysis of a series of 118 cases. J Neurosurg Spine 2007;7:587-93.
  • 11 Eden K. The dumb-bell tumours of the spine. Br J Surg 1941;28:549-70.
  • 12 Asazuma T, Toyama Y, Maruiwa H, Fujimura Y, Hirabayashi K. Surgical strategy for cervical dumbbell tumors based on a three-dimensional classification. Spine (Phila Pa 1976) 2004;29:E10-4.
  • 13 Tomii M, Itoh Y, Numazawa S, Watanabe K. Surgical consideration of cervical dumbbell tumors. Acta Neurochir (Wien) 2013;155:1907-10.
  • 14 Fernandes RL, Lynch JC, Welling L, Gonçalves M, Tragante R, Temponi V, et al. Complete removal of the spinal nerve sheath tumors. Surgical technics and results from a series of 30 patients. Arq Neuropsiquiatr 2014;72:312-7.
  • 15 Hakuba A, Komiyama M, Tsujimoto T, Ahn MS, Nishimura S, Ohta T, et al. Transuncodiscal approach to dumbbell tumors of the cervical spinal canal. J Neurosurg 1984;61:1100-6.
  • 16 Verbiest H. A lateral approach to the cervical spine: Technique and indications. J Neurosurg 1968;28:191-203.
  • 17 George B, Lot G. Neurinomas of the first two cervical nerve roots: A series of 42 cases. J Neurosurg 1995;82:917-23.
  • 18 Li C, Shi FQ, Wu J, Jian XC, Jiang CH. Dumbbell-shaped cervical spinal neurilemmoma presenting as neck mass: Diagnosis and treatment. Shanghai Kou Qiang Yi Xue 2011;20:174-8.
  • 19 George B, Zerah M, Lot G, Hurth M. Oblique transcorporeal approach to anteriorly located lesions in the cervical spinal canal. Acta Neurochir (Wien) 1993;121:187-90.
  • 20 Jho HD, Ha HG. Anterolateral approach for cervical spinal cord tumors via an anterior microforaminotomy: Technical note. Minim Invasive Neurosurg 1999;42:1-5.