Acta clinica Croatica, Vol. 57. No. 4., 2018.
Ostalo
https://doi.org/10.20471/acc.2018.57.04.27
Spinal Dumbbell Epidural Hemangioma: Two Stage/Same Sitting/Same Position Posterior Microsurgical and Transthoracic Endoscopic Resection – Case Report and Review of the Literature
Mirza Pojskić
; Department of Neurosurgery, University of Marburg, Marburg, Germany
Blazej Zbytek
; Pathology Group of Midsouth, Memphis, TN, USA
Christopher J. Mutrie
; Baptist Memorial Group Thoracic Surgery, Memphis, TN, USA
Kenan I. Arnautović
; Semmes Murphey Neurologic & Spine Institute and Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA
Sažetak
Spinal dumbbell tumors are defined by a narrowing at the point where they penetrate the intervertebral foramina or dura mater, assuming an hourglass or dumbbell shape. Dumbbell-shaped spinal hemangiomas are extremely rare. We describe a dumbbell spinal tumor (epidural cavernous hemangioma) resected by a 2-stage single-sitting combined approach. We also conduct a substantial literature review of the subject. We present a case of a 78-year-old male who was found to have a homogeneously enhancing, dumbbell-shaped, intraspinal, extradural tumor mass extending into the left chest cavity. The tumor was resected with a single-sitting 2-stage posterior technique: a microsurgical approach, followed by endoscopic resection via a thoracoscopic approach. There are several reports in the literature on the combined approach for dumbbell tumors of the spinal cord. Our case is the first to describe 2-stage combined surgery in 1 sitting for dumbbell hemangioma with the patient in the lateral decubitus position for the thoracoscopic part of the surgery; and the use of a fat pad, which was applied in the neuroforamen via the posterior route, as a marker for resection during the transthoracic procedure.
Ključne riječi
Spine; Dumbbell tumor, epidural; Hemangioma; Microsurgery; Endoscopy; Thoracoscopic approach
Hrčak ID:
217864
URI
Datum izdavanja:
1.12.2018.
Posjeta: 1.475 *