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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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. 
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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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