Microsurgical Excision of Ganglioneuroma Arising from the C8 Nerve Root within the Neuroforamen

Abstract

Ganglioneuromas are benign, slow-growing tumors originating from sympathetic nerves or peripheral nerves, often associated with multiple tumor syndromes. They occasionally occur as spinal lesions and grow within the spinal canal or as paraspinal lesions. In this report, we describe a rare solitary ganglioneuroma arising from the cervical nerve root (C8) within the intervertebral foramen in adults. The tumor could be detected as a mass limited to the neuroforamen at an early stage by MR images. Unilateral microsurgical foraminotomy and EN BLOC resection of the tumor resulted in disappearance of the symptoms. Microsurgical resection of the relevant nerve root through limited medial foraminotomy at an intricate anatomical region of the cervico-thoracic junction was appropriate in the current case for complete resection of the tumor as well as to prevent postoperative structural weakness that could result in late segmental instability.

Microsurgical Resection of Cavernous Haemangioma around the Thoracic Neuroforamen: A Case Report

“…For foraminal tumours, microsurgical foraminotomy has been reported as superior to the facetectomy approach with concomitant spinal fusion, with or without hardware use. [16][17][18][19] In our patient, removal of the medial half of the left facet joint at T11-T12 was sufficient to expose the tumour. This interlaminal fenestration enables removal of intradural and intramedullary tumours, without reconstruction of the vertebrae.…”

Ganglioneuroma arising from the L5 nerve root: A rare case report

“…[ 2 ] Ganglioneuroma occurring in the nerve root is very rare. [ 3 4 5 6 ] A few cases of ganglioneuroma occurring in the cervical nerve root have been reported. [ 4 5 ]…”

Ganglioneuroma with leiomyomatosis of the urinary bladder: A rare tumor causing frequent micturition and dysuria

“…They are rare in the spine and its incidence in the pelvis is very low. 9,10 Bladder leiomyoma is the most common type of nonepithelial bladder neoplasm. Its etiology is not clear, and it has a higher incidence in females in their third to fifth decade of life.…”