Patient, female, 32 years old
Clinical manifestations: Anal and perineal pain, weakness in urination and defecation
Preoperative magnetic resonance imaging showed a tumor (red arrow) in the sacral canal, ranging from S1-S4, approximately 7cm long, surrounding the cauda equina nerve root.
Dr. Zheng’s team from the Neurosurgery Department of Xinhua Hospital affiliated with Shanghai Jiao Tong University School of Medicine performed surgical resection. During the operation, it was found that the tumor was yellowish, with a tough texture and moderate blood supply. Under intraoperative neurophysiological monitoring, the tumor in the sacral canal was resected through microsurgery, while protecting the cauda equina nerve root.
Postoperative bowel function is normal and symptoms disappear.
Postoperative magnetic resonance imaging showed that the tumor in the sacral canal had been totally resected, and the course of the cauda equina nerve root was good (green arrow).