An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurre...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Scientific Сentre for Family Health and Human Reproduction Problems
2021-01-01
|
| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/2508 |
| _version_ | 1797237276963504128 |
|---|---|
| author | I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak |
| author_facet | I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak |
| author_sort | I. A. Vasilyev |
| collection | DOAJ |
| description | The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurrence of such neoplasms among all spinal cord tumors. Complaints, neurological symptoms, neoplasm diagnosis methods and its clinical and radiological manifestations are presented. The article describes stages and techniques of total surgical removal of the spinal hourglass schwannoma through the posterior paravertebral minimally invasive approach without opening the pleural cavity and with using neurophysiological monitoring of spinal cord function performed at the Neurosurgical Clinic of the Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan. The data of histological examination and MRI control in the early postoperative period are presented. The follow-up was carried out at 6 and 12 months after surgical treatment. The publications describing the surgical treatment of paravertebral tumors through different approaches, the technique of their removal, possible complications and methods of their prevention are analyzed, and the classification according to Eden (1941), which characterizes the type of tumor growth, is presented. |
| first_indexed | 2024-03-08T12:16:03Z |
| format | Article |
| id | doaj.art-7e97326ced4d41cdb6710bc0271fe372 |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2024-04-24T17:17:11Z |
| publishDate | 2021-01-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-7e97326ced4d41cdb6710bc0271fe3722024-03-28T07:49:23ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-01-015615716410.29413/ABS.2020-5.6.182086An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)I. A. Vasilyev0I. V. Pendyurin1A. V. Buzunov2S. V. Tsvetkovskiy3E. V. Stupak4V. V. Stupak5Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. TsivyanThe article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurrence of such neoplasms among all spinal cord tumors. Complaints, neurological symptoms, neoplasm diagnosis methods and its clinical and radiological manifestations are presented. The article describes stages and techniques of total surgical removal of the spinal hourglass schwannoma through the posterior paravertebral minimally invasive approach without opening the pleural cavity and with using neurophysiological monitoring of spinal cord function performed at the Neurosurgical Clinic of the Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan. The data of histological examination and MRI control in the early postoperative period are presented. The follow-up was carried out at 6 and 12 months after surgical treatment. The publications describing the surgical treatment of paravertebral tumors through different approaches, the technique of their removal, possible complications and methods of their prevention are analyzed, and the classification according to Eden (1941), which characterizes the type of tumor growth, is presented.https://www.actabiomedica.ru/jour/article/view/2508extramedullary tumor of the spinal cordschwannomahourglass neurinomathoracic spinepleural cavityintraoperative neurophysiological monitoring |
| spellingShingle | I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) Acta Biomedica Scientifica extramedullary tumor of the spinal cord schwannoma hourglass neurinoma thoracic spine pleural cavity intraoperative neurophysiological monitoring |
| title | An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) |
| title_full | An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) |
| title_fullStr | An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) |
| title_full_unstemmed | An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) |
| title_short | An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) |
| title_sort | hourglass type spinal schwannoma spreading to the chest treated with one stage total removal through posterior paravertebral approach without opening the pleural cavity clinical observation |
| topic | extramedullary tumor of the spinal cord schwannoma hourglass neurinoma thoracic spine pleural cavity intraoperative neurophysiological monitoring |
| url | https://www.actabiomedica.ru/jour/article/view/2508 |
| work_keys_str_mv | AT iavasilyev anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT ivpendyurin anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT avbuzunov anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT svtsvetkovskiy anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT evstupak anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT vvstupak anhourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT iavasilyev hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT ivpendyurin hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT avbuzunov hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT svtsvetkovskiy hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT evstupak hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation AT vvstupak hourglasstypespinalschwannomaspreadingtothechesttreatedwithonestagetotalremovalthroughposteriorparavertebralapproachwithoutopeningthepleuralcavityclinicalobservation |