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Case Reports in Surgery
Volume 2015, Article ID 984982, 5 pages
Case Report

Intradural Intramedullary Mixed Type Hemangioma: Optimizing the Surgical Management through Intraoperative Neurophysiological Monitoring

1Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Indonesia, Jakarta 10430, Indonesia
2Neurophysiology Division, Department of Neurology, University of Indonesia, Jakarta 10430, Indonesia

Received 1 September 2015; Revised 21 November 2015; Accepted 10 December 2015

Academic Editor: Mario Ganau

Copyright © 2015 Ahmad Jabir Rahyussalim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intradural intramedullary mixed type hemangioma is a rare histotype of primary spinal cord tumors, though it can carry a severe clinical burden leading to limb dysfunction or motor and sensory disturbances. Timely intervention with radical resection is the hallmark of treatment but achieving it is not an easy task even for experienced neurosurgeons. We herein present an exemplificative case presenting with sudden paraplegia in which total resection was achieved under intraoperative neurophysiology monitoring. A thorough discussion on the operative technique and the role of neuromonitoring in allowing a safe surgical management of primary spinal cord tumors is presented.