Case report: minimal invasive approach in a case of cervical schwannoma

Abstract

Purpose: The purpose of our case report is to present our experience with minimal invasive approach in a case of cervical schwannoma. Method: The data of patient treated for cervical schwannoma like site, size and extension of the lesion were obtained by neuroimaging and preoperative neurological status obtained by clinical examination. The postoperative neurological status and radiological image were available. The clinical course was documented by Karnofsky score (KPS). Result: We approached the tumour through interlaminar fenestration in cervical (C1-C2) region. Postoperative neuroimaging revealed complete removal of the lesion and no sign of spinal instability. At discharge improvement of KPS score and neurological improvement was observed. Conclusion: Minimal access procedures are increasingly gaining popularity in spine surgery. The aim of the surgical procedure is minimizing the invasiveness and maximizing the efficacy. Modern neuroimaging allows adequate preoperative planning and microsurgical techniques provide adequate execution of the surgical act.

Keywords

• Cervical schwannomas
• Interlaminar fenestration
• Minimally invasive technique