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Surgical treatment of dumbbell neurinomas of the cervical spine

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Critical Reviews in Neurosurgery

Abstract

Cervical neurinomas extending through the intervertebral foramen are uncommon. They raise difficult problems of surgical management. The few papers dealing with surgical technique for removal of these tumors are reviewed. The surgical approach has to be chosen from posterior, anterior, and anterolateral routes. Analysis is essentially devoted to the radicality of tumor resection, nerve root preservation, relation to the vertebral artery, and compromise of spinal stability.

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Papers reviewed

  1. McCormick PC (1996) Surgical management of dumbbell tumors of the cervical spine. Neurosurgery 38: 294–300

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  2. Hakba A, Komiyama M, Tsujimoto T, Soo Ahn M, Nishimura S, Ohta T, Kitano H (1984) Transuncodiscal approach to dumbbell tumors of the cervical spinal canal. J Neurosurg 61: 1100–1106

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  3. Lot G, George B (1997) Cervical neuromas with extradural components: surgical management in a series of 57 patients. Neurosurgery 41: 813–822

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Further reading

  • George B, Laurian C (1987) The vertebral artery — pathology and surgery. Springer, Wien New York, p 258

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  • George B, Lot G (1995) Neurinomas of the first two cervical nerve roots: a series of 42 cases. J Neurosurg 82: 917–923

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  • Kim P, Ebersold MF, Onofrio BM, Quast LM (1989) Surgery of spinal nerve schwannoma: risk of neurological deficit after resection of involved root. J Neurosurg 71: 810–814

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  • Schultheiss R, Gullotta G (1993) Resection of relevant nerve roots in surgery of spinal neurinomas without persisting neurological deficit. Acta Neurochir (Wien) 122: 91–96

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  • Seppala MT, Laltia MJJ, Sankila RJ, Jääskeläinen JE, Heiskanen O (1995) Long-term outcome after removal of spinal neurofibroma. J Neurosurg 82: 572–577

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Authors and Affiliations

  1. Service de Neurochirurgie, Hôpital Lariboisière, 2, Rue Ambroise Paré, F-75475, Paris Cedex 10, France

    Bernard George & Guillaume Lot

Authors
  1. Bernard George
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  2. Guillaume Lot
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George, B., Lot, G. Surgical treatment of dumbbell neurinomas of the cervical spine. Crit Rev Neurosurg 9, 156–160 (1999). https://doi.org/10.1007/s003290050125

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  • DOI: https://doi.org/10.1007/s003290050125

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