Marcio Robertti Ramalho da Cunha
The Clinic Trauma Center, Brazil
Scientific Tracks Abstracts: J Neurol Neurophysiol
The percutaneous endoscopic technique has been used to treat disk herniation and spinal stenosis (5,8,10), so far we have very few reports to treat benign spinal tumors under this minimally invasive treatment(3, 5). We would like to present a single case of lumbar epidural angiolipoma removed using the full endoscopic interlaminar approach as a safe and effective option to treat the benign extradural spinal tumor. We describe a 54-year-old man with a 3-month history of a progressively worsening low back pain without any other neurological signs. A magnetic resonance demonstrated a dorsally located L1- L2 epidural lesion. We've performed a total removed under the basic steps of the Interlaminar approach. After opening the ligamentun flavum, the tumor was totally removed piecemeal under endoscopic guidance, The procedure lasted less than three hours with no support in the intensive care unit and pathological examination confirmed extradural lumbar angiolipoma. he had a hospital discharge less than twelve hours after the surgical procedure with no neurological signs and using minor painkiller to control the back pain. even though we don´t have so many papers about this surgical practice, we think that is a feasible treatment and for sure we need more adapted endoscopic tools to accelerate the surgical time.
Marcio Robertti Ramalho da Cunha is the senior in Neurosurgery department at Trauma Centre Brazil. He was the medical student of UFRN in 1983-1989. He completed this medical residency at the Base Hospital of the Federal District - Brasíl. He did his post graduation in the Area of Column Surgery at Rwth Aachen – Germany and another postgraduate course at Frei Universitat Of Berlin - Germany. He is trained in the minimally invasive treatment of the Spine in the Space Coast Pain Institute Merritt Island, Florida - USA. He is the active Member of the Brazilian Society of Neurosurgery, Brazilian Society of Column and ASIPP (American Society Of International Pain Physician). He served as Chairman of Neurosurgery service of the General Hospital in the year 2014 and Assitant professor in Neurosurgery Department in U.F.R.N in the year 1996 – 1999. He has expertise in spinal endoscopic surgery.
E-mail: maramalho65@gmail.com
