Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video
Neuroenteric cysts (NC) are rare benign congenital neoplasms arising from displaced elements of the alimentary canal. They are commonly located within the spine. Although they can occur in any region of the central nervous system, foramen magnum (FM) NC are extremely rare. Because of the close relat...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751922002006 |
| _version_ | 1811208000758611968 |
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| author | Dan Zimelewicz Oberman Jorge Luiz Amorim Correa |
| author_facet | Dan Zimelewicz Oberman Jorge Luiz Amorim Correa |
| author_sort | Dan Zimelewicz Oberman |
| collection | DOAJ |
| description | Neuroenteric cysts (NC) are rare benign congenital neoplasms arising from displaced elements of the alimentary canal. They are commonly located within the spine. Although they can occur in any region of the central nervous system, foramen magnum (FM) NC are extremely rare. Because of the close relationship of the FM and critical neurovascular structures, total resection may be difficult. Extended retrosigmoid approach is a simple and safe surgical approach that increases the surgical exposure and corridor, decreasing the necessity of cerebellar retraction or the use of more radical approaches, such as transpetrosal approaches or far-lateral approach, which are associate with significant morbidity and lengthy. A previously healthy 41-year-old female came to our service complaining of intermittent mild occipital headache and bilateral paresthesia. On neurological examination she had no complaints on the physical examination. Preoperative magnetic resonance imaging (MRI) evaluation revealed a well-defined lesion, hyperintense on T1WI and hypointense on T2WI and FLAIR, no restriction was seen on DWI, and there was mild enhancement on contrastenhanced T1WI. Total resection of the cyst wall and cyst contents was achieved via extended retrosigmoid approach. She was discharged with no neurologic deficit. The latest follow-up MRI at 12 months post surgery showed no evidence of lesion recurrence. The patient gave informed consent for surgery and video recording (Video 1). |
| first_indexed | 2024-04-12T04:14:39Z |
| format | Article |
| id | doaj.art-ae1e5128e2144722bb94b5b942eae835 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-12T04:14:39Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-ae1e5128e2144722bb94b5b942eae8352022-12-22T03:48:26ZengElsevierInterdisciplinary Neurosurgery2214-75192023-03-0131101686Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional videoDan Zimelewicz Oberman0Jorge Luiz Amorim Correa1Corresponding author at: Neurosurgery Department, Hospital de Força Aérea do Galeão, Estrada do Galeão, 4101 - Galeão, Rio de Janeiro – RJ 21941-353, Brazil.; Department of Neurosurgery, Hospital Força Aérea do Galeão, Rio de Janeiro, BrazilDepartment of Neurosurgery, Hospital Força Aérea do Galeão, Rio de Janeiro, BrazilNeuroenteric cysts (NC) are rare benign congenital neoplasms arising from displaced elements of the alimentary canal. They are commonly located within the spine. Although they can occur in any region of the central nervous system, foramen magnum (FM) NC are extremely rare. Because of the close relationship of the FM and critical neurovascular structures, total resection may be difficult. Extended retrosigmoid approach is a simple and safe surgical approach that increases the surgical exposure and corridor, decreasing the necessity of cerebellar retraction or the use of more radical approaches, such as transpetrosal approaches or far-lateral approach, which are associate with significant morbidity and lengthy. A previously healthy 41-year-old female came to our service complaining of intermittent mild occipital headache and bilateral paresthesia. On neurological examination she had no complaints on the physical examination. Preoperative magnetic resonance imaging (MRI) evaluation revealed a well-defined lesion, hyperintense on T1WI and hypointense on T2WI and FLAIR, no restriction was seen on DWI, and there was mild enhancement on contrastenhanced T1WI. Total resection of the cyst wall and cyst contents was achieved via extended retrosigmoid approach. She was discharged with no neurologic deficit. The latest follow-up MRI at 12 months post surgery showed no evidence of lesion recurrence. The patient gave informed consent for surgery and video recording (Video 1).http://www.sciencedirect.com/science/article/pii/S2214751922002006Extended retrosigmoid approachForamen magnumNeuroenteric cyst |
| spellingShingle | Dan Zimelewicz Oberman Jorge Luiz Amorim Correa Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video Interdisciplinary Neurosurgery Extended retrosigmoid approach Foramen magnum Neuroenteric cyst |
| title | Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video |
| title_full | Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video |
| title_fullStr | Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video |
| title_full_unstemmed | Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video |
| title_short | Extended retrosigmoid approach to ventro-lateral foramen magnum neuroenteric cyst: 2D- dimensional video |
| title_sort | extended retrosigmoid approach to ventro lateral foramen magnum neuroenteric cyst 2d dimensional video |
| topic | Extended retrosigmoid approach Foramen magnum Neuroenteric cyst |
| url | http://www.sciencedirect.com/science/article/pii/S2214751922002006 |
| work_keys_str_mv | AT danzimelewiczoberman extendedretrosigmoidapproachtoventrolateralforamenmagnumneuroentericcyst2ddimensionalvideo AT jorgeluizamorimcorrea extendedretrosigmoidapproachtoventrolateralforamenmagnumneuroentericcyst2ddimensionalvideo |