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Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review
Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of giant...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359865/ https://www.ncbi.nlm.nih.gov/pubmed/37485228 http://dx.doi.org/10.7759/cureus.40708 |
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author | Vanegas Cerna, Geovanny Barrientos Castillo, Rossi E Nurmukhametov, Renat Baldoncini, Matias López Lara, Carlos Ernesto Rosario, Andreina Ogando, Yamaurys E Ramirez, Karina M Lafuente, Jesus Chmutin, Gennady E Montemurro, Nicola Ramirez, Manuel de Jesus Encarnacion |
author_facet | Vanegas Cerna, Geovanny Barrientos Castillo, Rossi E Nurmukhametov, Renat Baldoncini, Matias López Lara, Carlos Ernesto Rosario, Andreina Ogando, Yamaurys E Ramirez, Karina M Lafuente, Jesus Chmutin, Gennady E Montemurro, Nicola Ramirez, Manuel de Jesus Encarnacion |
author_sort | Vanegas Cerna, Geovanny |
collection | PubMed |
description | Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of giant invasive intradural extramedullary schwannoma managed with posterior lumbar interbody fusion (PLIF) and laminectomy with excellent results. A 58-year-old man presented with lower back pain radiating to the right leg for six months. He had no history of trauma or systemic disease. Lumbosacral magnetic resonance imaging (MRI) showed a well-defined mass at the L3-L4 level compressing the right nerve root. The patient was managed with L3-L4-L5 transpedicular fixation and right-side laminectomy L3-L4 for resection of the tumor. Histopathological examination confirmed the diagnosis of schwannoma. The patient had a favorable postoperative recovery and experienced a resolution of symptoms. Lumbar schwannomas are rare they can cause significant symptoms and require appropriate diagnosis and management. Microsurgery is the preferred treatment, and endoscopic microsurgery is the most promising technique. |
format | Online Article Text |
id | pubmed-10359865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103598652023-07-22 Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review Vanegas Cerna, Geovanny Barrientos Castillo, Rossi E Nurmukhametov, Renat Baldoncini, Matias López Lara, Carlos Ernesto Rosario, Andreina Ogando, Yamaurys E Ramirez, Karina M Lafuente, Jesus Chmutin, Gennady E Montemurro, Nicola Ramirez, Manuel de Jesus Encarnacion Cureus Neurology Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of giant invasive intradural extramedullary schwannoma managed with posterior lumbar interbody fusion (PLIF) and laminectomy with excellent results. A 58-year-old man presented with lower back pain radiating to the right leg for six months. He had no history of trauma or systemic disease. Lumbosacral magnetic resonance imaging (MRI) showed a well-defined mass at the L3-L4 level compressing the right nerve root. The patient was managed with L3-L4-L5 transpedicular fixation and right-side laminectomy L3-L4 for resection of the tumor. Histopathological examination confirmed the diagnosis of schwannoma. The patient had a favorable postoperative recovery and experienced a resolution of symptoms. Lumbar schwannomas are rare they can cause significant symptoms and require appropriate diagnosis and management. Microsurgery is the preferred treatment, and endoscopic microsurgery is the most promising technique. Cureus 2023-06-20 /pmc/articles/PMC10359865/ /pubmed/37485228 http://dx.doi.org/10.7759/cureus.40708 Text en Copyright © 2023, Vanegas Cerna et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Vanegas Cerna, Geovanny Barrientos Castillo, Rossi E Nurmukhametov, Renat Baldoncini, Matias López Lara, Carlos Ernesto Rosario, Andreina Ogando, Yamaurys E Ramirez, Karina M Lafuente, Jesus Chmutin, Gennady E Montemurro, Nicola Ramirez, Manuel de Jesus Encarnacion Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title | Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title_full | Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title_fullStr | Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title_full_unstemmed | Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title_short | Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review |
title_sort | giant invasive intradural extramedullary lumbar schwannoma: a case report and literature review |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359865/ https://www.ncbi.nlm.nih.gov/pubmed/37485228 http://dx.doi.org/10.7759/cureus.40708 |
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