This operative video demonstrates the microsurgical resection of a thoracic intramedullary cavernous malformation, a relatively rare but potentially debilitating lesion of the spinal cord. How can intraoperative adjuncts aid in the safe and effective removal of these lesions? This presentation highlights the use of multiple preoperative and intraoperative adjuncts to characterize the lesion, confirm its location, and provide real-time evaluation during surgery, with the goal of maximizing patient outcomes. The authors emphasize the importance of neurophysiological monitoring and the technical nuances involved in safe microsurgical dissection within the spinal cord. They demonstrate the procedure and the publication of their image. The patient consented to the procedure and the publication of their image. This operative video serves as a valuable resource for neurosurgeons and other healthcare professionals involved in the management of intramedullary spinal cord lesions, offering insights into surgical techniques and the application of advanced imaging modalities to optimize surgical precision and patient safety.
Operative Neurosurgery provides a specialized forum for showcasing innovative surgical techniques and approaches in neurosurgery. This submission fits within the journal's scope by presenting a detailed operative video of a complex spinal cord lesion resection. Its value lies in demonstrating best practices and offering practical guidance for neurosurgeons.