Neurosurg Focus (Suppl 2) 37:Video 16, 2014

Minimally invasive surgery for synchronous, same-level lumbar intradural-extramedullary neoplasm and acute disc herniation Lee A. Tan, M.D., Manish K. Kasliwal, M.D., MCh, Joshua Wewel, M.D., Ricardo B. V. Fontes, M.D., PhD., and John E. O’Toole, M.D. Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois Schwannomas are the most common intradural-extramedullary spinal tumors, with an estimated incidence of 3 to 10 cases per 100,000 people. With continued advances in minimally invasive surgery (MIS) over recent years, MIS techniques have been utilized by spine surgeons in the resection of intradural spinal neoplasms with favorable surgical results and clinical outcomes. This video demonstrates a rare case of symptomatic, synchronous, same-level lumbar intradural-extramedullary neoplasm and acute disc herniation, both of which were successfully treated using a single MIS approach. Surgical pearls and nuances are discussed to better delineate technique and minimize potential complications. The video can be found here: http://youtu.be/78ibbicBRUk. (http://thejns.org/doi/abs/10.3171/2014.V3.FOCUS14386)

Key Words      •      minimally invasive      •      intradural-extramedullary      •      spinal tumor      •      schwannoma      •      disc herniation      •      video

Manuscript submitted June 28, 2014. Accepted July 18, 2014. Please include this information when citing this paper: DOI: 10.3171/2014.V3.FOCUS14386. Address correspondence to: Lee A. Tan, M.D., 1725 W. Harrison St. Suite 855, Chicago, IL 60612. email: [email protected].

Neurosurg Focus / Volume 37 (Suppl 2) / September 2014

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Minimally invasive surgery for synchronous, same-level lumbar intradural-extramedullary neoplasm and acute disc herniation.

Schwannomas are the most common intradural-extramedullary spinal tumors, with an estimated incidence of 3 to 10 cases per 100,000 people. With continu...
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