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  • Interdisciplinarno zdravljenje kraniospinalnih tumorjev z ekspanzijo v vratno regijo = Interdisciplinary management of craniospinal tumors with expansion into cervical region
    Bunc, Gorazd ; Čizmarevič, Bogdan ; Košir, Gorazd
    Background. Dumb-bell shaped neurinomas growing transdurally are rare. We present two such tumors growing intradurally and expanding extradurally into the cervical region, stressing the safety and ... effectiveness of two-stage interdisciplinary approach. Methods. The intradural and intracondylar part of hypoglossal neurinoma was removed by transcondylar access. The tumor part expanding into the paravertebral region was excised by adapted vascular approach for the upper internal carotid artery. For the intradural part of neurinoma at CGC7 level, classical laminectomy was applied. Its extradural larger part was removed via neck dissection. Results. Our hypoglossal neurinoma is, the 63rd of such tumors known in the literature and only the 16th dumb-bell shaped tumor. Postoperatively no significant additional neurologic deficits occured. There was no radiologic evidence of tumor recurrence. After removal of the cervical neurinoma i.e. its intradural part, the right cervicobrachialgia and spastic right lower monoparesis improved. Although asymptomatic, the extradural cervical part of the tumor was removed after several months. Both tumors were neurilemmomas. Conclusions. We wish to stress the possibility of safe and radical excision practically without postoperative deficits using two separate interdisciplinary approaches for intra- and extra dural cervical parts of tumors.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 3, marec 2000, str. 149-152)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 11312345

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