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I recently reached a significant spinal cavernous malformation milestone: #100 resected microsurgically. These are the most common vascular malformation in my practice & teach so much about zones of entry into cord tissue, safe resection techniques, and handling of cord tracts…

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Michael T. Lawton, MD

20,357 subscribers

114,390 görüntüleme • 7 ay önce •via X (Twitter)

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Spinal cord cavernous malformations presenting to the pial surface of the cord have natural safe entry zones that offer direct access/surgical corridors for resection, even when adjacent to eloquent tracts like corticospinal tract. Tracts get pushed inward out of harm’s way…
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Spinal cord cavernous malformations presenting to the pial surface of the cord have natural safe entry zones that offer direct access/surgical corridors for resection, even when adjacent to eloquent tracts like corticospinal tract. Tracts get pushed inward out of harm’s way…

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The spinal cord is a scary thing to incise. The cord has a midline fissure that makes it easier there, but paramedian cord does not. However, myelotomy along dorsal root entry zone (DREZ) is safe for dorsal spinal cord cavernous malformations, entering posteromedial to descending corticospinal tract & dancing around posterior spinal artery…
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The spinal cord is a scary thing to incise. The cord has a midline fissure that makes it easier there, but paramedian cord does not. However, myelotomy along dorsal root entry zone (DREZ) is safe for dorsal spinal cord cavernous malformations, entering posteromedial to descending corticospinal tract & dancing around posterior spinal artery…

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