Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty

We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2017-01, Vol.25 (1), p.2309499017691003-2309499017691003
Main Authors: Rosario, Mamer Soriano, Murakami, Hideki, Kato, Satoshi, Fujii, Moriyuki, Yonezawa, Noritaka, Tsuchiya, Hiroyuki
Format: Article
Language:English
Subjects:
Adult
Authorship
Dissection
Female
Humans
Laminoplasty - methods
Magnetic Resonance Imaging
Microsurgery - methods
Myelography
Neurofibroma - diagnosis
Neurofibroma - surgery
Spinal cord
Spinal Cord Neoplasms - diagnosis
Spinal Cord Neoplasms - surgery
Surgery
Thoracic Vertebrae
Tomography, X-Ray Computed
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Summary:We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.
ISSN:1022-5536
2309-4990
DOI:10.1177/2309499017691003