ABSTRACT
Se presenta el caso clínico de un paciente de 57 años de edad, de la raza blanca, con cuadro clínico de compresión medular dorsal, por lo cual se le realizó una laminectomía de D5-D7, con resección de una lesión extradural, de color vino, redondeada, de 3x2x2 cm. Los resultados de la biopsia confirmaron el diagnóstico de una malformación angiomatosa (cavernoma). La cirugía es el tratamiento ideal para estos tipos de lesiones y la resonancia magnética de columna, un estudio útil para diagnosticar y tratar a los afectados.
The clinical case of a white 57 year-old patient is presented, with clinical pattern of dorsal medullary compression, reason why a laminectomy of D5-D7 was carried out, with resection of an extradural, rounded, wine colored lesion, of 3x2x2 cm. The results of the biopsy confirmed the diagnosis of an angiomatous malformation (cavernoma). Surgery is the ideal treatment for these types of lesions and the spine magnetic resonance is an useful study to diagnose and to treat those affected.
ABSTRACT
Spinal Stereotactic Radiosurgery (SRS) has become an important treatment modality for a broad range of spinal tumors and spinal vascular lesions. Recent clinical acceptance and awareness of the usefulness of spinal radiosurgery has escalated with the development of modern radiosurgical technology. Image-guided navigation systems incorporating non-invasive fiducial tracking and virtual simulation planning systems have made spinal radiosurgery increasingly effective and expanded the range of clinical applications for which it can be effectively used. Additional improvements such as Intensity Modulation and Micro-Multileaf Collimation that allow the accurate modulating and shaping of the radiation beam have also contributed greatly to the ability of clinicians to treat irregular and critically located lesions with greatly reduced collateral risk. Spinal Radiosurgery for spinal tumors can achieve similar clinical results to cranial stereotactic radiosurgery for brain tumors in terms of achieving local tumor control and improving quality of life and survival rates. Stereotactic radiosurgery, which has long been used for the treatment of intracranial lesions, is now recognized to be a viable option for treating spinal tumors and spinal vascular lesions.