The relevance of the artery of Adamkiewicz for microsurgical resection of spinal tumors- short overview and case series: Technical note.

Details

Serval ID
serval:BIB_6A4D5B9C4FB4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The relevance of the artery of Adamkiewicz for microsurgical resection of spinal tumors- short overview and case series: Technical note.
Journal
Neuro-Chirurgie
Author(s)
Tuleasca C., Herbrecht A., Knafo S., Aghakhani N., Parker F.
ISSN
1773-0619 (Electronic)
ISSN-L
0028-3770
Publication state
Published
Issued date
11/2020
Peer-reviewed
Oui
Volume
66
Number
5
Pages
378-382
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
There is of major interest to know the exact anatomical location of artery of Adamkiewicz (AKA) for many spinal microsurgical procedures, so as to avoid postoperative ischemia of the spinal cord, with further devastating clinical impact.
We detail the interest of preoperative angiography for medullary lesions in our experience. We further report two cases where the AKA was located at the same level and side with the treated lesion. The first case underwent an intracapsular decompression. The second patient undertook radiosurgery by Cyberknife.
For spinal tumor where the AKA is exactly on the same level and side, an intracapsular decompression can be safely performed, with an immediate decrease of the symptomatic mass effect, while decreasing the risk of neurological injury. A second valuable alternative in such situations can also be radiosurgery, for small to medium size tumors. In our experience, this proved safe and effective both for tumor and eventual pain control.
Keywords
Surgery, Clinical Neurology, Adamkiewicz, Cyberknife, Neurinoma, Radiosurgery, Schwannoma, Spinal tumors
Pubmed
Web of science
Funding(s)
University of Lausanne / CRND-31188
Create date
11/08/2020 13:20
Last modification date
20/01/2021 6:24
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