Use of Flexible Hollow-Core CO2 Laser in Microsurgical Resection of CNS Lesions: Case 1
A 44-year-old woman presented with longstanding neck pain and progressive left arm paresthesias and clumsiness. Magnetic resonance imaging showed a nonenhancing exophytic intramedullary lesion eccentric to left within the cervical spinal cord spanning C3-C5. The patient underwent a C3-C5 laminoplasty for resection of the tumor. At surgery, the lesion reached the surface of the spinal cord between the dorsal roots. A clear plane was visible between the lesion and spinal cord. The laser was used to gently dissect the tumor from the neural elements and to vaporize and debulk the central portion of the tumor to permit its gross total removal.
Robert F. Spetzler
Neurosurgery. 66(6):1187-1192, June 2010