Vertebral Artery Injury in C2-3 Epidural Schwannoma Resection: A Case Report and Literature Review / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 39-44, 2017.
Article
in English
| WPRIM
| ID: wpr-203609
ABSTRACT
The incidence of vertebral artery (VA) injury (VAI) in posterior approach tumor resection surgery is extremely rare, but it can lead to serious complication. In this case, a 57-year-old man underwent surgery for resection of the tumor involving left epidural space and neural foramen at C2-3 level. Iatrogenic VAI occurred suddenly during tumor resection procedure using pituitary forceps. Immediate local hemostasis and maintaining of perfusion for reducing the risk of posterior circulation ischemia were performed. Intraoperative angiogram of both VA and emergent trapping embolization were done as well. It may reduce the risk of immediate postop complication, and further delayed occurrence. The patient had no complication after VAI by appropriate intraoperative management. Preoperative angiographic work up and preparation of endovascular team cooperation are positively necessary as well as a warning for the VAI during cervical spine surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Spine
/
Surgical Instruments
/
Vertebral Artery
/
Incidence
/
Epidural Space
/
Hemostasis
/
Ischemia
/
Neurilemmoma
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Neurotrauma
Year:
2017
Type:
Article
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