Excision of dumbbell shaped ganglioneuroma of cervical spine using a facet preserving inside out approach - What we know and what we learnt

Deora, Harsh; Kumar, Ashutosh; Das, Kuntal Kanti; Naik, Bitan; Dikshit, Priyadarshi; Srivastava, Arun Kumar; Behari, Sanjay

doi:10.1016/j.inat.2019.100481

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…While they are typically seen in the posterior mediastinum and abdomen, they can rarely extend into the neural foramina and spinal canal [2]. Only 16 cases of CGN [3] have been documented the English literature.…”

Section: Discussionmentioning

confidence: 99%

“…Of the 16 reported cases of CGN, 6 were associated with NF1 [3][4][5][6][7]. NF1 is a genetic disorder with varying neurocutaneous manifestations, including a predisposition for tumours.…”

Section: Association With Neurofibromatosis Typementioning

confidence: 99%

“…In the 6 cases of NF1-related CGN, tetraparesis was the most common symptom with respiratory and sensory dysfunction also present in some patients [7]. Ganglioneuromas of the cervical spine are found to be dumbbell shaped and have a higher rate of intradural extension [3].…”

Section: Clinical Presentationmentioning

confidence: 99%

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Bilateral Dumbbell Cervical Spinal Ganglioneuromas Associated with Neurofibromatosis Type 1

Seetahal-Maraj¹,

Nadeem²,

Patrick³

et al. 2021

Neurosurg Cases Rev

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Section: Discussionmentioning

confidence: 99%

“…Of the 16 reported cases of CGN, 6 were associated with NF1 [3][4][5][6][7]. NF1 is a genetic disorder with varying neurocutaneous manifestations, including a predisposition for tumours.…”

Section: Association With Neurofibromatosis Typementioning

confidence: 99%

See 1 more Smart Citation

Bilateral Dumbbell Cervical Spinal Ganglioneuromas Associated with Neurofibromatosis Type 1

Seetahal-Maraj¹,

Nadeem²,

Patrick³

et al. 2021

Neurosurg Cases Rev

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“…[2][3][4] Resection remains challenging owing to the proximity of critical neurovascular structures, high tumor vascularity, and extraspinal tumor extensions. 2,3,5,6 Depending on tumor extension (dorsal or ventral), either a traditional posterior approach 6 or an anterolateral approach may be chosen. 7 Our patient presented with complaints of suboccipital headache and progressive spastic quadriparesis for 1 year.…”

mentioning

confidence: 99%

Microsurgical Removal of Dumbbell-Shaped C1 Schwannoma: Utility of Subcapsular Dissection to Safeguard Critical Neurovascular Structures: 2-Dimensional Operative Video

Das,

Singh,

Rai

et al. 2023

Operative Neurosurgery

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Schwannomas in the craniocervical junction usually arise from lower cranial nerves or 1st and 2nd cervical nerves. 1 Dumbbell-shaped schwannomas are rare and can present with either brainstem or upper cervical cord compression features or with vascular insufficiency due to vertebral artery compression. [2][3][4] Resection remains challenging owing to the proximity of critical neurovascular structures, high tumor vascularity, and extraspinal tumor extensions. 2,3,5,6 Depending on tumor extension (dorsal or ventral), either a traditional posterior approach 6 or an anterolateral approach may be chosen. 7 Our patient presented with complaints of suboccipital headache and progressive spastic quadriparesis for 1 year. His magnetic resonance imaging revealed a 5.5 × 2.4 × 2.3 cm homogenously contrast-enhancing lesion with an area of central necrosis at the craniovertebral junction. The ipsilateral vertebral artery was poorly visualized with possible tumor feeders from the ipsilateral occipital artery. The patient consented to the procedure and to the publication of his image. Intraoperatively, careful resection of the intradural part was then followed by removing the extradural part. The vertebral artery was adherent to the tumor's posterior capsule, which was preserved using fine microsurgical dissection. The patient recovered well from surgery. In this video, we have highlighted the importance of subcapsular dissection in the preservation of surrounding nerves, vessels, and brainstem and "inside out" subcapsular resection of the extraspinal part using a standard midline posterior approach. The importance of preoperative radiological workup is extremely important in such cases to know the course of the vertebral artery in relation to the tumor.

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Myxopapillary Ependymoma and Rare Tumors

Bruckbauer

Hines

Perez

et al. 2020

Tumors of the Spinal Canal

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Excision of dumbbell shaped ganglioneuroma of cervical spine using a facet preserving inside out approach - What we know and what we learnt

Cited by 4 publications

References 13 publications

Bilateral Dumbbell Cervical Spinal Ganglioneuromas Associated with Neurofibromatosis Type 1

Bilateral Dumbbell Cervical Spinal Ganglioneuromas Associated with Neurofibromatosis Type 1

Microsurgical Removal of Dumbbell-Shaped C1 Schwannoma: Utility of Subcapsular Dissection to Safeguard Critical Neurovascular Structures: 2-Dimensional Operative Video

Myxopapillary Ependymoma and Rare Tumors

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