Here’s one more for a few select colleagues who look in on my blog from time to time. This is an older woman from Yemen. She has had a biopsy a year ago and was told she has a tumor. The pathology is not available to me. What she has is a tumor that has taken the skull base and the upper two cervical vertebrae. That means here head is sitting on her shoulders without any support. Having just attended the Jeddah Spine Summit, I found several surgical solutions. The good thing about a meeting like this is that there is never a time when something is completely inoperable. In other words, beware. I don’t walk on water and still must dress one leg at a time. But it’s good to have some alternate suggestions. So far the patient has not returned. Which in the scheme of things might not be the worst that could happen.
She has not returned ? With tumor in such a crucial position , the reason for her failure to come back , can be anything . Unfortunate that you don’t have pathology report too, Victor.
March 30, 2013 at 3:55 am
We were told it was a ganglioglioma – unlikely. More probably it’s a chordoma. So then it’s a pretty straightforward procedure to come front and back. And to fuse from behind, there’s no realistic way to come with anything in front because the clivus is involved. I have a plan, we just need a patient.
March 30, 2013 at 7:00 am