Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring

Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring

Intradural intramedullary mixed type hemangioma is a rare histotype of primary spinal cord tumors, though it can carry a severe clinical burden leading to limb dysfunction or motor and sensory disturbances. Timely intervention with radical resection is the hallmark of treatment but achieving it is n...

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Main Authors: Ahmad Jabir Rahyussalim, Adrian Situmeang, Ahmad Yanuar Safri, Zulfa Indah K. Fadhly
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/984982
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spelling doaj-8e11980329b4453b8cc92c93428ef0f52020-11-24T20:57:08ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/984982984982Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological MonitoringAhmad Jabir Rahyussalim0Adrian Situmeang1Ahmad Yanuar Safri2Zulfa Indah K. Fadhly3Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Indonesia, Jakarta 10430, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, University of Indonesia, Jakarta 10430, IndonesiaNeurophysiology Division, Department of Neurology, University of Indonesia, Jakarta 10430, IndonesiaNeurophysiology Division, Department of Neurology, University of Indonesia, Jakarta 10430, IndonesiaIntradural intramedullary mixed type hemangioma is a rare histotype of primary spinal cord tumors, though it can carry a severe clinical burden leading to limb dysfunction or motor and sensory disturbances. Timely intervention with radical resection is the hallmark of treatment but achieving it is not an easy task even for experienced neurosurgeons. We herein present an exemplificative case presenting with sudden paraplegia in which total resection was achieved under intraoperative neurophysiology monitoring. A thorough discussion on the operative technique and the role of neuromonitoring in allowing a safe surgical management of primary spinal cord tumors is presented.http://dx.doi.org/10.1155/2015/984982
collection DOAJ
language English
format Article
sources DOAJ
author Ahmad Jabir Rahyussalim
Adrian Situmeang
Ahmad Yanuar Safri
Zulfa Indah K. Fadhly
spellingShingle Ahmad Jabir Rahyussalim
Adrian Situmeang
Ahmad Yanuar Safri
Zulfa Indah K. Fadhly
Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
Case Reports in Surgery
author_facet Ahmad Jabir Rahyussalim
Adrian Situmeang
Ahmad Yanuar Safri
Zulfa Indah K. Fadhly
author_sort Ahmad Jabir Rahyussalim
title Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
title_short Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
title_full Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
title_fullStr Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
title_full_unstemmed Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring
title_sort intradural intramedullary mixed type hemangioma: optimizing the surgical management through intraoperative neurophysiological monitoring
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2015-01-01
description Intradural intramedullary mixed type hemangioma is a rare histotype of primary spinal cord tumors, though it can carry a severe clinical burden leading to limb dysfunction or motor and sensory disturbances. Timely intervention with radical resection is the hallmark of treatment but achieving it is not an easy task even for experienced neurosurgeons. We herein present an exemplificative case presenting with sudden paraplegia in which total resection was achieved under intraoperative neurophysiology monitoring. A thorough discussion on the operative technique and the role of neuromonitoring in allowing a safe surgical management of primary spinal cord tumors is presented.
url http://dx.doi.org/10.1155/2015/984982
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