Surgical resection of an intradural extramedullary spinal tumor

Joseph Yunga Tigre; Adam Levy; Eva M Wu; James Boddu; Vignessh Kumar; Allan D Levi; S Shelby Burks

doi:10.3171/2023.7.FOCVID2351

Surgical resection of an intradural extramedullary spinal tumor

Neurosurg Focus Video. 2023 Oct 1;9(2):V9. doi: 10.3171/2023.7.FOCVID2351. eCollection 2023 Oct.

Authors

Joseph Yunga Tigre¹, Adam Levy¹, Eva M Wu¹, James Boddu¹, Vignessh Kumar¹, Allan D Levi^{1

2}, S Shelby Burks^{1

2}

Affiliations

¹ Department of Neurosurgery and.
² The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida.

Abstract

Large ventrally located spinal meningiomas are typically resected via a posterolateral or lateral approach. Optimal outcomes are associated with good preoperative functional status (i.e., modified McCormick grade < 4), while recurrence rates may be predicted by degree and quality of resection (i.e., low Simpson grade). This video describes the operative techniques for resection of a large ventral C2 intradural extramedullary meningioma in a 71-year-old male presenting with hemibody sensory loss and abnormal gait. A paramedian approach was performed, allowing for adequate exposure and gross-total resection. The patient was discharged on postoperative day 2 and showed near-complete resolution of sensory deficits.

Keywords: intradural spinal tumor; spinal meningioma; surgical resection.