An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)

The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurre...

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Autores principales:	I. A. Vasilyev, I. V. Pendyurin, A. V. Buzunov, S. V. Tsvetkovskiy, E. V. Stupak, V. V. Stupak
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	extramedullary tumor of the spinal cord schwannoma hourglass neurinoma thoracic spine pleural cavity intraoperative neurophysiological monitoring Science Q
Acceso en línea:	https://doaj.org/article/7e97326ced4d41cdb6710bc0271fe372
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spelling	oai:doaj.org-article:7e97326ced4d41cdb6710bc0271fe3722021-11-23T06:14:45ZAn Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)2541-94202587-959610.29413/ABS.2020-5.6.18https://doaj.org/article/7e97326ced4d41cdb6710bc0271fe3722021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2508https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurrence of such neoplasms among all spinal cord tumors. Complaints, neurological symptoms, neoplasm diagnosis methods and its clinical and radiological manifestations are presented. The article describes stages and techniques of total surgical removal of the spinal hourglass schwannoma through the posterior paravertebral minimally invasive approach without opening the pleural cavity and with using neurophysiological monitoring of spinal cord function performed at the Neurosurgical Clinic of the Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan. The data of histological examination and MRI control in the early postoperative period are presented. The follow-up was carried out at 6 and 12 months after surgical treatment. The publications describing the surgical treatment of paravertebral tumors through different approaches, the technique of their removal, possible complications and methods of their prevention are analyzed, and the classification according to Eden (1941), which characterizes the type of tumor growth, is presented.I. A. VasilyevI. V. PendyurinA. V. BuzunovS. V. TsvetkovskiyE. V. StupakV. V. StupakScientific Сentre for Family Health and Human Reproduction Problemsarticleextramedullary tumor of the spinal cordschwannomahourglass neurinomathoracic spinepleural cavityintraoperative neurophysiological monitoringScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 157-164 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	extramedullary tumor of the spinal cord schwannoma hourglass neurinoma thoracic spine pleural cavity intraoperative neurophysiological monitoring Science Q
spellingShingle	extramedullary tumor of the spinal cord schwannoma hourglass neurinoma thoracic spine pleural cavity intraoperative neurophysiological monitoring Science Q I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
description	The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurrence of such neoplasms among all spinal cord tumors. Complaints, neurological symptoms, neoplasm diagnosis methods and its clinical and radiological manifestations are presented. The article describes stages and techniques of total surgical removal of the spinal hourglass schwannoma through the posterior paravertebral minimally invasive approach without opening the pleural cavity and with using neurophysiological monitoring of spinal cord function performed at the Neurosurgical Clinic of the Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan. The data of histological examination and MRI control in the early postoperative period are presented. The follow-up was carried out at 6 and 12 months after surgical treatment. The publications describing the surgical treatment of paravertebral tumors through different approaches, the technique of their removal, possible complications and methods of their prevention are analyzed, and the classification according to Eden (1941), which characterizes the type of tumor growth, is presented.
format	article
author	I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak
author_facet	I. A. Vasilyev I. V. Pendyurin A. V. Buzunov S. V. Tsvetkovskiy E. V. Stupak V. V. Stupak
author_sort	I. A. Vasilyev
title	An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
title_short	An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
title_full	An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
title_fullStr	An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
title_full_unstemmed	An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
title_sort	hourglass-type spinal schwannoma spreading to the chest treated with one-stage total removal through posterior paravertebral approach without opening the pleural cavity (clinical observation)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/7e97326ced4d41cdb6710bc0271fe372
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An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)

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