Posterior Approach for Upper Cervical Schwannomas (C1–C2): Two Case Reports and Literature Review

Upper cervical schwannomas at the C1–C2 level are rare and present surgical challenges due to the complex anatomy and proximity to critical neurovascular structures. We present two cases of schwannomas located at the C1–C2 junction treated via a posterior approach. In the first case, a 75-yearold female underwent laminectomy, and in the second, a woman in her 30s underwent laminoplasty. Both surgeries achieved gross total resection with favorable neurological outcomes. We discuss the rationale for the surgical approach, the importance of preserving spinal stability, and the role of individualized decision-making in managing these rare tumors

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Publication Details

Journal
Neurology and Neuroscience
Published
2025-08-20
DOI
https://doi.org/10.33425/2692-7918.1096
Primary Topic
Neurofibromatosis and Schwannoma Cases
Type
article
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Posterior Approach for Upper Cervical Schwannomas (C1–C2): Two Case Reports and Literature Review

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Neurofibromatosis and Schwannoma Cases
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Posterior Approach for Upper Cervical Schwannomas (C1–C2): Two Case Reports and Literature Review

Vitor César Machado, Pedro Nogarotto Cembraneli, Rodrigo Correia de Alcântara, Julia Brasileiro de Faria Cavalcante, Maria Lelita Xavier, Filipa Cardoso, Chrystiano Fonseca Cardoso, Renata Brasileiro de Faria Cavalcante, José Edison da Silva Cavalcante, Italo Nogarotto
article en

Abstract

Upper cervical schwannomas at the C1–C2 level are rare and present surgical challenges due to the complex anatomy and proximity to critical neurovascular structures. We present two cases of schwannomas located at the C1–C2 junction treated via a posterior approach. In the first case, a 75-yearold female underwent laminectomy, and in the second, a woman in her 30s underwent laminoplasty. Both surgeries achieved gross total resection with favorable neurological outcomes. We discuss the rationale for the surgical approach, the importance of preserving spinal stability, and the role of individualized decision-making in managing these rare tumors

Neurology and NeuroscienceVol. 6(5)
Fundação de Apoio a Pesquisa do Estado de Goiás (BR)
Openalex Percentile: Top 68%
Neurofibromatosis and Schwannoma Cases
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