Mari L. Groves, MD (Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD), Patricia L. Zadnik, BA (Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD), Pablo F. Recinos, MD (Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD; Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH), Violette Renard Recinos, MD (Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH), and George I. Jallo, MD (Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, MD)
The authors present a case of a 27-year-old patient who presented with spastic gait and worsening difficulty walking over a 6-month period. Spinal MR imaging revealed a heterogeneously enhancing intramedullary spinal cord tumor (IMSCT) with associated syrinx in the cervical spine. The lesion was resected through posterior en bloc laminotomy, durotomy, and microscopic resection of the intramedullary component followed by laminoplasty reconstruction. The procedure is presented in an edited, high-definition format with accompanying narrative.