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Acta Neurochirurgica

, Volume 154, Issue 10, pp 1815–1820 | Cite as

Cauda equina tumor surgery: how I do it

  • Enrico TessitoreEmail author
  • Ivan Cabrilo
  • Colette Boex
  • Karl Schaller
How I Do it

Abstract

Background

Tumors of the cauda equina usually require surgery due to their impingement on neighboring nerve roots, often resulting in pain and neurological deficits.

Method

The Authors first give a brief introduction on cauda equina tumors, followed by a description of the surgical anatomy, and then develop the microsurgical technique. In particular, tricks to avoid complications are presented, underlining the importance of intraoperative neuromonitoring.

Conclusion

Both microsurgical technique and neuromonitoring are important in cauda equina tumor surgery, the goal of which is to achieve complete resection while at the same time preserving neurological function.

Keywords

Cauda equina Tumor Microsurgical techniques Neuromonitoring 

Notes

Conflicts of interest

None.

Supplementary material

ESM 1

The Authors show the surgical video concerning the resection of cauda equina ependymoma in a 65 year old man, suffering from left-sided L4 cruralgia for many months. Cranial is on the left, caudal is to the right. The patient’s right side is on the top of the image. (WMV 177796 kb)

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Enrico Tessitore
    • 1
    • 3
    Email author
  • Ivan Cabrilo
    • 1
  • Colette Boex
    • 2
  • Karl Schaller
    • 1
  1. 1.Neurosurgery Division, Department of Clinical Neurosciences, Faculty of MedicineGeneva University Medical CenterGenevaSwitzerland
  2. 2.Neurology Division, Department of Clinical Neurosciences, Faculty of MedicineGeneva University Medical CenterGenevaSwitzerland
  3. 3.Geneva University HospitalGenève 14Switzerland

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