Abstract
Intramedullary ependymomas are surgically curable tumors. However, their surgical resection poses several challenges. In this intraoperative video we illustrate the main steps for the surgical resection of a cervical intramedullary ependymoma. These critical steps include: adequate exposure of the entire length of the tumor; use of the intraoperative ultrasound; identification of the posterior median sulcus and separation of the posterior columns; Identification of the plane between the spinal cord and the tumor; mobilization and debulking of the tumor and disconnection of the vascular supply (usually from small anterior spinal artery branches). Following these basic steps a complete resection can be safely achieved in many cases. The video can be found here: http://youtu.be/QMYXC_F4O4U.
Original language | English (US) |
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Pages (from-to) | Video 14 |
Journal | Neurosurgical focus |
Volume | 37 |
DOIs | |
State | Published - Sep 1 2014 |
Keywords
- ependymoma
- intraoperative video
- spinal cord neoplasms
- surgical procedure
ASJC Scopus subject areas
- Surgery
- Clinical Neurology