Resection of intradural intramedullary subependymoma of the cervicothoracic spine: 2-dimensional operative video

Joshua Vignolles-Jeong; Maxwell D Gruber; Vikas Munjal; Santino Cua; Justin Baum; Vikram B Chakravarthy

doi:10.3171/2023.6.FOCVID2381

Resection of intradural intramedullary subependymoma of the cervicothoracic spine: 2-dimensional operative video

Neurosurg Focus Video. 2023 Oct 1;9(2):V6. doi: 10.3171/2023.6.FOCVID2381. eCollection 2023 Oct.

Authors

Joshua Vignolles-Jeong¹, Maxwell D Gruber¹, Vikas Munjal¹, Santino Cua¹, Justin Baum¹, Vikram B Chakravarthy¹

Affiliation

¹ Department of Neurological Surgery, The Ohio State University, Columbus, Ohio.

Abstract

This video presents the case of a 44-year-old male with a 2-year history of pain in the left upper extremity that had worsened over the course of the last 6 months with associated weakened grip strength and had extended into his right arm. T2-weighted sagittal and axial MRI demonstrated an expansive nonenhancing solid intramedullary lesion extending from C5 to T1. The patient underwent a C5-T1 laminectomy and laminoplasty with near-complete resection of the intradural intramedullary subependymoma. At 3 months' follow-up, he reported doing well and had experienced significant improvement in motor strength with ongoing therapies.

Keywords: intradural intramedullary; spine; subependymoma.