Surgical management and outcome of adult posterior cranial fossa and spinal hemangioblastoma: a 6-case series and literature review.
Identifieur interne : 000099 ( Main/Exploration ); précédent : 000098; suivant : 000100Surgical management and outcome of adult posterior cranial fossa and spinal hemangioblastoma: a 6-case series and literature review.
Auteurs : Bruno Splavski [Croatie] ; Blazej Zbytek [États-Unis] ; Kenan I. Arnautovic [États-Unis]Source :
- Neurological research [ 1743-1328 ] ; 2020.
Abstract
OBJECTIVE
Hemangioblastomas of the posterior cranial fossa and spinal cord in adults are excessively vascularized, well-differentiated, and scarce tumors with no metastatic potential. This paper discusses its surgical management and outcome, pointing out their morphological, radiological, and histopathological aspects. This report based on a personal series of six patients and on a literature review.
METHODS
A single-institution personal 6-case series of adult patients diagnosed and operated on by a senior neurosurgeon (KIA) due to posterior cranial fossa or spinal cord hemangioblastoma was analyzed. For easier understanding of hemangioblastoma, we have classified them into four different types.
RESULTS
The tumors, which were all surgically treated, were located in the posterior cranial fossa in five patients (4 cerebellar, 1 brain stem) and intramedullary in the thoracic spinal cord in one patient. All patients successfully recovered neurologically after a complete tumor resection, having no post-operative neurological deficit or other complications.
CONCLUSION
Surgical management of cerebellar and spinal cord hemangioblastoma in adults is highly dependent on its morphological features, as well as on microsurgical technique applied. Since huge differences exist between the cystic/nodular tumor type (Type 1) and the solid type and its two additional variants (Types 2-4), morphology is the most important consideration when deciding surgical approach. Despite significant morphological differences among different subtypes of hemangioblastomas, their histology appears to be relatively similar. Nonetheless, a meticulous and refined surgical technique has to be utilized to achieve a successful outcome.
DOI: 10.1080/01616412.2020.1796382
PubMed: 32697158
Affiliations:
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Arnautovic</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, University of Tennessee Health Science Center , Memphis, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Tennessee Health Science Center , Memphis, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Semmes Murphey Clinic , Memphis, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Semmes Murphey Clinic , Memphis, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32697158</idno><idno type="pmid">32697158</idno><idno type="doi">10.1080/01616412.2020.1796382</idno><idno type="wicri:Area/Main/Corpus">000179</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000179</idno><idno type="wicri:Area/Main/Curation">000179</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000179</idno><idno type="wicri:Area/Main/Exploration">000179</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical management and outcome of adult posterior cranial fossa and spinal hemangioblastoma: a 6-case series and literature review.</title><author><name sortKey="Splavski, Bruno" sort="Splavski, Bruno" uniqKey="Splavski B" first="Bruno" last="Splavski">Bruno Splavski</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Sestre Milosrdnice University Hospital Center , Zagreb, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>Department of Neurosurgery, Sestre Milosrdnice University Hospital Center , Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Dental Medicine and Health, J.J. Strossmayer University of Osijek , Osijek, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>School of Dental Medicine and Health, J.J. Strossmayer University of Osijek , Osijek</wicri:regionArea><wicri:noRegion>Osijek</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>J.J. Strossmayer University of Osijek School of Medicine , Osijek, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>J.J. Strossmayer University of Osijek School of Medicine , Osijek</wicri:regionArea><wicri:noRegion>Osijek</wicri:noRegion></affiliation></author><author><name sortKey="Zbytek, Blazej" sort="Zbytek, Blazej" uniqKey="Zbytek B" first="Blazej" last="Zbytek">Blazej Zbytek</name><affiliation wicri:level="2"><nlm:affiliation>Poplar Healthcare , Memphis, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Poplar Healthcare , Memphis, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Arnautovic, Kenan I" sort="Arnautovic, Kenan I" uniqKey="Arnautovic K" first="Kenan I" last="Arnautovic">Kenan I. Arnautovic</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, University of Tennessee Health Science Center , Memphis, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Tennessee Health Science Center , Memphis, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Semmes Murphey Clinic , Memphis, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Semmes Murphey Clinic , Memphis, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j">Neurological research</title><idno type="eISSN">1743-1328</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Hemangioblastomas of the posterior cranial fossa and spinal cord in adults are excessively vascularized, well-differentiated, and scarce tumors with no metastatic potential. This paper discusses its surgical management and outcome, pointing out their morphological, radiological, and histopathological aspects. This report based on a personal series of six patients and on a literature review.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A single-institution personal 6-case series of adult patients diagnosed and operated on by a senior neurosurgeon (KIA) due to posterior cranial fossa or spinal cord hemangioblastoma was analyzed. For easier understanding of hemangioblastoma, we have classified them into four different types.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The tumors, which were all surgically treated, were located in the posterior cranial fossa in five patients (4 cerebellar, 1 brain stem) and intramedullary in the thoracic spinal cord in one patient. All patients successfully recovered neurologically after a complete tumor resection, having no post-operative neurological deficit or other complications.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Surgical management of cerebellar and spinal cord hemangioblastoma in adults is highly dependent on its morphological features, as well as on microsurgical technique applied. Since huge differences exist between the cystic/nodular tumor type (Type 1) and the solid type and its two additional variants (Types 2-4), morphology is the most important consideration when deciding surgical approach. Despite significant morphological differences among different subtypes of hemangioblastomas, their histology appears to be relatively similar. Nonetheless, a meticulous and refined surgical technique has to be utilized to achieve a successful outcome.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32697158</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1743-1328</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>22</Day></PubDate></JournalIssue><Title>Neurological research</Title><ISOAbbreviation>Neurol Res</ISOAbbreviation></Journal><ArticleTitle>Surgical management and outcome of adult posterior cranial fossa and spinal hemangioblastoma: a 6-case series and literature review.</ArticleTitle><Pagination><MedlinePgn>1-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/01616412.2020.1796382</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Hemangioblastomas of the posterior cranial fossa and spinal cord in adults are excessively vascularized, well-differentiated, and scarce tumors with no metastatic potential. This paper discusses its surgical management and outcome, pointing out their morphological, radiological, and histopathological aspects. This report based on a personal series of six patients and on a literature review.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A single-institution personal 6-case series of adult patients diagnosed and operated on by a senior neurosurgeon (KIA) due to posterior cranial fossa or spinal cord hemangioblastoma was analyzed. For easier understanding of hemangioblastoma, we have classified them into four different types.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The tumors, which were all surgically treated, were located in the posterior cranial fossa in five patients (4 cerebellar, 1 brain stem) and intramedullary in the thoracic spinal cord in one patient. All patients successfully recovered neurologically after a complete tumor resection, having no post-operative neurological deficit or other complications.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Surgical management of cerebellar and spinal cord hemangioblastoma in adults is highly dependent on its morphological features, as well as on microsurgical technique applied. Since huge differences exist between the cystic/nodular tumor type (Type 1) and the solid type and its two additional variants (Types 2-4), morphology is the most important consideration when deciding surgical approach. Despite significant morphological differences among different subtypes of hemangioblastomas, their histology appears to be relatively similar. Nonetheless, a meticulous and refined surgical technique has to be utilized to achieve a successful outcome.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Splavski</LastName><ForeName>Bruno</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Sestre Milosrdnice University Hospital Center , Zagreb, Croatia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Dental Medicine and Health, J.J. Strossmayer University of Osijek , Osijek, Croatia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>J.J. Strossmayer University of Osijek School of Medicine , Osijek, Croatia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zbytek</LastName><ForeName>Blazej</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Poplar Healthcare , Memphis, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arnautovic</LastName><ForeName>Kenan I</ForeName><Initials>KI</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, University of Tennessee Health Science Center , Memphis, TN, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Semmes Murphey Clinic , Memphis, TN, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Neurol Res</MedlineTA><NlmUniqueID>7905298</NlmUniqueID><ISSNLinking>0161-6412</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adult hemangioblastoma</Keyword><Keyword MajorTopicYN="N">management outcome</Keyword><Keyword MajorTopicYN="N">microsurgical technique</Keyword><Keyword MajorTopicYN="N">morphology</Keyword><Keyword MajorTopicYN="N">posterior fossa</Keyword><Keyword MajorTopicYN="N">thoracic spinal cord</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32697158</ArticleId><ArticleId IdType="doi">10.1080/01616412.2020.1796382</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Croatie</li><li>États-Unis</li></country><region><li>Tennessee</li></region></list><tree><country name="Croatie"><noRegion><name sortKey="Splavski, Bruno" sort="Splavski, Bruno" uniqKey="Splavski B" first="Bruno" last="Splavski">Bruno Splavski</name></noRegion><name sortKey="Splavski, Bruno" sort="Splavski, Bruno" uniqKey="Splavski B" first="Bruno" last="Splavski">Bruno Splavski</name><name sortKey="Splavski, Bruno" sort="Splavski, Bruno" uniqKey="Splavski B" first="Bruno" last="Splavski">Bruno Splavski</name></country><country name="États-Unis"><region name="Tennessee"><name sortKey="Zbytek, Blazej" sort="Zbytek, Blazej" uniqKey="Zbytek B" first="Blazej" last="Zbytek">Blazej Zbytek</name></region><name sortKey="Arnautovic, Kenan I" sort="Arnautovic, Kenan I" uniqKey="Arnautovic K" first="Kenan I" last="Arnautovic">Kenan I. Arnautovic</name><name sortKey="Arnautovic, Kenan I" sort="Arnautovic, Kenan I" uniqKey="Arnautovic K" first="Kenan I" last="Arnautovic">Kenan I. Arnautovic</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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