Histoire naturelle des cavernomes intramédullaires et traitement chirurgical. Résultats de l'étude française multicentrique

Parker, Fabrice; Lejeune, J.-P.; Bouly, S.; Lonjon, M.; Emery, Évelyne; Proust, F.; Auque, J.; Loiseau, H.; Gallas, Sophie; Boetto, S.; Labauge, Pierre

doi:10.1016/j.neuchi.2007.02.010

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Centromedullary localisations are accessible through a classic median commissural myeloma with a transient probability of posterior cord damage. An anterior or anterolateral distribution is often respected in paucisymptomatic forms, in the case of a surgical approach (severe or recurrent deficit), a previous approach may be considered (10). This last localisation corresponds to that of our case but a later approach was enough for a complete excision.…”

Section: Discussionmentioning

confidence: 53%

“…They can remain asymptomatic for a very long time or be responsible for a slowly progressing alteration of neurological functions or reveal themselves abruptly (9). Acute forms occur in order of a hemorrhagic context while progressive forms (60%), can be reversible during the first month or be accompanied by a progressive pseudotumour worsening (10). Classical symptomatology is made of moderate spinal pain followed by muscle weakness in the lower limbs of progressive worsening, responsible for walking disorders (1, 3).…”

Section: Discussionmentioning

confidence: 99%

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Intramedullary cavernoma

Dianka,

Abdoulkader Guedi,

Houssein Omar

et al. 2023

roneuro

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The cavernoma is a vascular malformation made of well-circumscribed agglomeration of pseudo-capillaries. Bone marrow localization is rare and accounts for about 5% of spinal cord vascular lesions. Clinical symptomatology is marked by progressive bone marrow compression syndrome. The diagnosis is strongly evoked in magnetic resonance imaging and confirmed by histology. The management is essentially surgical. We report a case of bone marrow cavernoma in a 38-year-old man seen in consultation, paraplegic for 2 weeks. The spinal cord MRI revealed a lesion opposite D11, evoking a cavernoma. The patient was operated on with total removal of the lesion; histology confirmed the diagnosis of cavernoma. The immediate post-operative follow-up was marked by the partial recovery of the deficit. We discuss, through this clinical case, the clinical, radiological and especially therapeutic aspects of the medullary cavernoma.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Intramedullary cavernoma

Dianka,

Abdoulkader Guedi,

Houssein Omar

et al. 2023

roneuro

View full text Add to dashboard Cite

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Custom-tailored minimally invasive partial C2-corpectomy for ventrally located intramedullary cavernous malformation

et al. 2013

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Approaches to ventrally located intramedullary lesions of the upper cervical spine can be extremely challenging. We present a custom-tailored, minimally invasive anterior approach to a ventrally located, intramedullary cavernous hemangioma with partial lateral corpectomy of C2, complete resection of the lesion and subsequent reconstruction. A 20-year-old woman presented with the history of progressive numbness of the left upper and lower extremities and some episodes of severe headaches was referred to magnetic resonance imaging: Here, an intramedullary lesion with typical radiological features for a cavernous malformation at the ventral surface of the spinal cord at the C2 level was detected. The surgical procedure was performed under general anesthesia and electrophysiological monitoring (somatosensory-evoked potentials (SEP), muscle motor-evoked potentials (MEP), and D-wave recording). Complete resection of the cavernous malformation was achieved and reconstruction of the cervical spine was performed using a custom-tailored cage. Intraoperative neuromonitoring during resection, revealed a transient MEP loss, but unchanged D-wave and SEP recordings indicated unchanged neurological outcome. Early clinical follow-up of the patient revealed no new neurological deficits. At 3-month follow-up, there was some improvement of the sensory function. This custom-tailored minimally invasive anterior approach to a ventrally located intramedullary cavernous malformation with partial C2-corpectomy describes a possible and successful approach to ventrally located intramedullary lesions of the upper cervical spinal cord. Additionally, the hereby-described approach is not related to cervical instability.

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