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  • Title: Far lateral approach for dumbbell-shaped C1 schwannomas: how I do it.
    Author: Xu M, Wang Y, Xu J, Zhong P.
    Journal: Acta Neurochir (Wien); 2024 Feb 10; 166(1):78. PubMed ID: 38340183.
    Abstract:
    BACKGROUND: Dumbbell-shaped C1 schwannomas are rare lesions that involve both intra- and extradural compartments. Because of the intimate relationships these lesions develop with the third and fourth segments of the vertebral artery, surgical removal of these lesions remains a challenge. METHOD: We describe the key steps of the far lateral approach for dumbbell-shaped C1 schwannomas with a video illustration. The surgical anatomy is described along with the techniques for protecting the vertebral artery. CONCLUSION: Dumbbell-shaped C1 schwannomas can be safely removed by using the far lateral approach, surgical anatomy expertise, and intraoperative microvascular Doppler.
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