Extradural and hourglass cervical neurinomas: the vertebral artery problem

Eleven cases of cervical neurinomas with an extradural component were operated on with control of the vertebral artery as the first step of the surgical procedure. The lateral anterior approach was used first in each case with excellent results. In the case of hourglass tumors (seven cases), a compl...

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Bibliographic Details
Published inNeurosurgery Vol. 16; no. 5; p. 591
Main Authors George, B, Laurian, C, Keravel, Y, Cophignon, J
Format Journal Article
LanguageEnglish
Published United States 01.05.1985
Subjects
Adult
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Female
Humans
Male
Middle Aged
Myelography
Neurilemmoma - diagnostic imaging
Neurilemmoma - surgery
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - surgery
Tomography, X-Ray Computed
Vertebral Artery - diagnostic imaging
Vertebral Artery - surgery
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Summary:Eleven cases of cervical neurinomas with an extradural component were operated on with control of the vertebral artery as the first step of the surgical procedure. The lateral anterior approach was used first in each case with excellent results. In the case of hourglass tumors (seven cases), a complementary posterior approach was performed to remove the intradural portion. Primary control of the vertebral artery in cases of extradural or hourglass neurinoma is a logical and safe procedure in the attempt to achieve complete and bloodless tumor removal.
ISSN:0148-396X
1524-4040
DOI:10.1227/00006123-198505000-00001