Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
Review Article
Surgical Strategies for Cervical Spinal Neurinomas
Kiyoshi ITOTatsuro AOYAMAYoshinari MIYAOKATetsuyoshi HORIUCHIKazuhiro HONGO
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2015 Volume 55 Issue 7 Pages 557-563


Cervical spinal neurinomas are benign tumors that arise from nerve roots. Based on their location, these tumors can also take the form of a dumbbell-shaped mass. Treatment strategies for these tumors have raised several controversial issues such as appropriate surgical indications and selection of surgical approaches for cervical dumbbell-shaped spinal neurinomas. In this report, we review previous literature and retrospectively analyze cervical spinal neurinoma cases that have been treated at our hospital. Surgical indications and approaches based on tumor location and severity are discussed in detail. Thus, with advances in neuroimaging and neurophysiological monitoring, we conclude that appropriate surgical approaches and intraoperative surgical manipulations should be chosen on a case-by-case basis.

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