Year: 2013
Type: article
Study design: Case Report
Abstract: his half lower body below the umbilicus.She also noticed progressive urinary incontinence without weakness in lower extremities.Neurological examination revealed a hypoesthesia to touch and pain from T10 to S2 level.Also, she had positive sign in Romberg test.Both patella and ankle reflexes were hypoactive and the Barbinski signs were bilaterally negative.Computed tomographic images without enhancement show a large hyperdense intradural round mass occupying the whole spinal canal at T9-10 level (Fig. 1).Magnetic resonance imaging revealed a large T9-10 intradural extramedullary mass that was hypointense to spinal cord on T1-and T2-weighted sequences, partial enhancement was apparent after Gd administration (Fig. 2).The spinal cord was severely compressed and displaced toward the right.Under general anesthesia, the patient was positioned prone after placement of transcranial muscle motor evoked potentials (Tc-MEPs) and somatosensory evoked potentials (SSEPs) monitoring devices.A T9-10 laminectomy was performed after midline splitting of T9-10 spinous process.The dura mater was exposed and the tumor location has been confirmed at the T9-10 level by ultrasonography.An operative microscope was used during opening the dura, the dura was incised at the midline, exposing a hard and totally ossified, round dural-based extra-
Institutions: Chosun University, Hokkaido University, Chosun University Hospital
Language: English
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $300
OpenAlex ID: W2005221047