Total resection of presacral giant schwannoma via minimally invasive dorsal approach: illustrative case

Guenther C. Feigl, Domagoj Jugovic, Daniel Staribacher, Rolf Buslei, Dzmitry Kuzmin

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

BACKGROUND Giant presacral schwannomas are extremely rare in neurosurgery. There are various approaches to the surgical treatment of symptomatic giant presacral schwannomas. The least traumatic is the one-stage surgery with a dorsal approach. OBSERVATIONS The authors describe a case of a 52-year-old male with pain in the sacral region and partial urinary dysfunction. A total tumor resection through a minimally invasive dorsal approach was performed, and anatomical and functional preservation of all sacral nerves with no postoperative complications was achieved. LESSONS The authors have shown the possibility of total tumor resection with a minimally invasive dorsal approach without the development of intra-and postoperative complications. Operative corridors that have been created by a tumor can be used and expanded for a minimally invasive dorsal approach to facilitate resection and minimize tissue disruption.

Original languageEnglish (US)
Article numberCASE21319
JournalJournal of Neurosurgery: Case Lessons
Volume2
Issue number15
DOIs
StatePublished - Oct 2021

Keywords

  • dorsal approach
  • minimally invasive approach
  • presacral giant schwannoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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