Ependymoma of the Filum Terminale, Technical Operative Note

Main Article Content

Simon Diaz Giulia Cossu Mihailo Obrenovic Juan Barges-Coll

Abstract

Background: Spinal cord tumors represent 2-4% of all CNS tumors. Ependymomas are the most frequent lesions of the spinal cord1. Gross total resection remains the gold standard2.


Method: We describe the mini-invasive surgical technique using a fixed tubular retractor performed for the resection of an ependymoma of the filum terminale, along with its advantages and limits.


Conclusion: This mini-invasive technique has shown to be safe and effective for the resection of filum terminale ependymoma, with a good impact on postoperative pain and less risks of CSF leak, which is probably secondary to a limited dead space.

Keywords: minimal invasive surgery, filum terminale, ependymoma, tubular retractor

Article Details

How to Cite
DIAZ, Simon et al. Ependymoma of the Filum Terminale, Technical Operative Note. Medical Research Archives, [S.l.], v. 11, n. 4, apr. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3591>. Date accessed: 21 dec. 2024. doi: https://doi.org/10.18103/mra.v11i4.3591.
Section
Research Articles

References

1. Cossu G, Lacroix C, Adams C, Daniel RT, Parker F, Messerer M. Neuroglial intramedullary tumors: The collaboration between neurosurgeons and neuropathologists. Neurochirurgie. Nov 2017;63(5):413-418. doi:10.1016/j.neuchi.2016.06.006
2. Aghakhani N, Messerer M, David P, Herbrecht A, Parker F. [Intramedullary ependymomas: A French retrospective multicenter study of 221 cases]. Neurochirurgie. Nov 2017;63(5):391-397. Ependymomes intramedullaires: etude retrospective multicentrique francaise sur 221 cas. doi:10.1016/j.neuchi.2016.07.002
3. Afathi M, Peltier E, Adetchessi T, Graillon T, Dufour H, Fuentes S. Minimally invasive transmuscular approach for the treatment of benign intradural extramedullary spinal cord tumours: Technical note and results. Neurochirurgie. Oct 2015;61(5):333-8. doi:10.1016/j.neuchi.2015.05.001
4. Pusat S, Erbas YC, Gocmen S, Kocaoglu M, Erdogan E. Natural Course of Myxopapillary Ependymoma: Unusual Case Report and Review of Literature. World Neurosurg. Jan 2019;121:239-242. doi:10.1016/j.wneu.2018.10.028