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Spinal Cord Compression Revealing an Intraosseous Schwannoma

A 68-year-old female presented with inflammatory lumbalgia and cruralgia. Physical examination revealed a lumbar stiffness without neurological deficit. Secondarily, paraplegia and urinary retention appeared. Magnetic resonance imaging showed a vertebral compaction of L3 vertebra with medullar compr...

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Detalles Bibliográficos
Autores principales: Metoui, Leila, Ajili, Faïda, Maiza, Mouna, Ben Ammar, Mehdi, Gharsallah, Imen, M'sakni, Issam, Louzir, Bassem, Othmani, Salah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3870097/
https://www.ncbi.nlm.nih.gov/pubmed/24381595
http://dx.doi.org/10.1155/2013/913218
Descripción
Sumario:A 68-year-old female presented with inflammatory lumbalgia and cruralgia. Physical examination revealed a lumbar stiffness without neurological deficit. Secondarily, paraplegia and urinary retention appeared. Magnetic resonance imaging showed a vertebral compaction of L3 vertebra with medullar compression. Emergent surgery revealed an epidural tumor involving largely the L3 vertebral body. Histology found schwannoma with positive protein S100 on the immunohistochemical study. Metastasis screening revealed bilateral nodular lesions of the lungs and a trochanter high scintigraphic signal. It was a malignant schwannoma. The patient underwent radiotherapy in addition to the total tumor resection.