Intramedullary vascular lesions in the high cervical region: transoral and dorsal surgical approach. Two case reports.
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Intramedullary vascular lesions in the high cervical region: transoral and dorsal surgical approach. Two case reports. / Friedrich, H; Hänsel-Friedrich, G; Zeumer, Hermann.
In: NEUROSURG REV, Vol. 13, No. 1, 1, 1990, p. 65-71.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Intramedullary vascular lesions in the high cervical region: transoral and dorsal surgical approach. Two case reports.
AU - Friedrich, H
AU - Hänsel-Friedrich, G
AU - Zeumer, Hermann
PY - 1990
Y1 - 1990
N2 - Intramedullary vascular malformations in the high cervical region are extremely rare. Two young adult patients with vascular lesions at the level C 2 and 3, and C 2-4 are reported. In one patient selective spinal angiography revealed a combined malformation with a ventral intramedullary arteriovenous angioma and a premedullary aneurysm. This malformation was approached and removed transorally after spondylectomy of C 2. In the second patient MRI and selective angiography showed an intramedullary hemangioblastoma extending from C 2-C 4. After embolization, this lesion was surgically removed via a dorsal approach. Both patients suffered from severe neurological deficits preoperatively. MRI and selective angiography showed the exact locations of the tumors within the spinal cord and indicated a transoral approach in one case and a dorsal approach in the other. After complete obliteration and removal of the lesions, the patients showed no neurological deficits and returned to their previous professions.
AB - Intramedullary vascular malformations in the high cervical region are extremely rare. Two young adult patients with vascular lesions at the level C 2 and 3, and C 2-4 are reported. In one patient selective spinal angiography revealed a combined malformation with a ventral intramedullary arteriovenous angioma and a premedullary aneurysm. This malformation was approached and removed transorally after spondylectomy of C 2. In the second patient MRI and selective angiography showed an intramedullary hemangioblastoma extending from C 2-C 4. After embolization, this lesion was surgically removed via a dorsal approach. Both patients suffered from severe neurological deficits preoperatively. MRI and selective angiography showed the exact locations of the tumors within the spinal cord and indicated a transoral approach in one case and a dorsal approach in the other. After complete obliteration and removal of the lesions, the patients showed no neurological deficits and returned to their previous professions.
M3 - SCORING: Zeitschriftenaufsatz
VL - 13
SP - 65
EP - 71
JO - NEUROSURG REV
JF - NEUROSURG REV
SN - 0344-5607
IS - 1
M1 - 1
ER -