Abstract
BACKGROUND: Virtual reality (VR) platforms are an emerging tool in neurosurgical planning, offering immersive, patient-specific 3D visualization to optimize surgical strategy and intraoperative navigation. Here, VR-assisted mapping was used to remove a recurrent cervical meningioma. METHODS: A 43-year-old female with a recurrent C5-C6 ventral, intradural meningioma presented with newly progressive myelopathy due to recurrent meningioma and worsening multiple limb paresis. Using intraoperative neuronavigation and VR-assisted mapping, the patient underwent a C4-C7 hemilaminotomy for recurrent tumor resection, followed by a C3-T2 fusion. RESULTS: Postoperatively, the patient had significant neurological improvement, and follow-up studies showed no tumor recurrence. CONCLUSION: This case highlights the utility of VR in presurgical planning and intraoperative guidance for complex recurrent cervical spinal tumors.