Thoracic Intramedullary Cavernous Malformation: 2-Dimensional Operative Video

Intramedullary lesions of the spinal cord are relatively uncommon but can present with debilitating symptoms. 1 These lesions are managed surgically if persistently symptomatic or after conservative treatment has failed. 2 The patient consented to the procedure and the publication of their image. Here, the authors present the case of an intramedullary cavernous malformation and demonstrate the use of multiple preoperative and intraoperative adjuncts to characterize the lesion, confirm location, and allow for real-time evaluation of lesion removal during surgery. 1-5 The video also demonstrates the use of neurophysiological monitoring and the technical nuances of safe microsurgical dissection for lesions within the spinal cord.