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Research ArticleCase Report

Biportal Endoscopic Resection of Intradural Meningioma in the Cervical Spine: A Case Report

Seok Bong Jung and Nackhwan Kim
International Journal of Spine Surgery October 2024, 18 (5) 611-616; DOI: https://doi.org/10.14444/8645
Seok Bong Jung
1 Spine Center, Jinju Bon Hospital, Jinju-si, Gyeongsangnam-do, South Korea
MD
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Nackhwan Kim
2 Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Seoul, South Korea
MD, PʜD
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  • For correspondence: nackhwan@gmail.com
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    Figure 1

    The intradural extramedullary mass at the level of C2–C3 vertebrae. An oval, well-demarcated, isointensity mass (dotted line) was positioned anteriorly in the central canal on the sagittal T2-weighted image (A). The mass had a heterogeneous gadolinium enhancement on the sagittal T1-weighted image (C). The contrast-enhanced mass (white arrowhead) was positioned in the dura mater and deviated from the adjacent spinal cord on the axial images (T2-weighted image on B and T1-weighted images on D).

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    Figure 2

    (A) Schematic illustration. A cranial portal was made on the right side of the midline of the C2 spinous process. A caudal portal, positioned 2–3 cm inferior to the first, was also created. A third portal was established mediocaudally to the caudal portal. (B) Sutured state of the portals after surgery.

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    Figure 3

    (A) Endoscopic view of performing a longitudinal incision (dotted line) following dura mater exposure (sharp probe, arrow). (B) A substantial grayish-white mass (white arrowhead) was being excised through the incised dural margins, with the microforceps positioned inferiorly. (C) Gross appearance of the excised tissues.

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    Figure 4

    Photomicrograph of the resected tumor. The tumor cells exhibited lobules and whorl formation of spindle-shaped cells. Psammoma bodies were also visible (hematoxylin and eosin staining, ×100 magnification).

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    Figure 5

    Postoperative magnetic resonance imaging (sagittal T1-weighted image on A and axial T2-weighted image on B) and computed tomographic scans (sagittal view on C and axial view on D) confirmed that the mass was nearly completely removed, and the right-sided laminectomy (white arrowhead) was clearly visible.

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    Figure 6

    Magnetic resonance imaging 18 months after surgery (sagittal view on A and axial view on B) demonstrated a clear visualization of the spinal cord without evidence of residual mass, absence of tumor recurrence, and adequate central canal space.

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International Journal of Spine Surgery
Vol. 18, Issue 5
1 Oct 2024
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Biportal Endoscopic Resection of Intradural Meningioma in the Cervical Spine: A Case Report
Seok Bong Jung, Nackhwan Kim
International Journal of Spine Surgery Oct 2024, 18 (5) 611-616; DOI: 10.14444/8645

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Biportal Endoscopic Resection of Intradural Meningioma in the Cervical Spine: A Case Report
Seok Bong Jung, Nackhwan Kim
International Journal of Spine Surgery Oct 2024, 18 (5) 611-616; DOI: 10.14444/8645
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  • intradural tumor
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