C1 cervical schwannoma [Neurosurgery Wiki]

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====== C1 cervical schwannoma ======

[[Dumbbell spinal schwannoma]] [[C1]] 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
((Xu M, Wang Y, Xu J, Zhong P. Far lateral approach for dumbbell-shaped C1 schwannomas: how I do it. Acta Neurochir (Wien). 2024 Feb 10;166(1):78. doi: 10.1007/s00701-024-05987-2. PMID: 38340183.)).