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Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma
We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging ex...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502249/ https://www.ncbi.nlm.nih.gov/pubmed/26180620 http://dx.doi.org/10.3340/jkns.2015.57.6.478 |
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author | Zhang, Fan Lu, Feizhou Jiang, Jianyuan Wang, Hongli |
author_facet | Zhang, Fan Lu, Feizhou Jiang, Jianyuan Wang, Hongli |
author_sort | Zhang, Fan |
collection | PubMed |
description | We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging examinations revealed a mass with lesions in L4 vertebral body causing bone destruction and spinal cord compression. Complete resection of the well-demarcated tumor and posterior fusion were performed. A 54-year-old female reported bilateral gait disturbance, paresthesia, and numbness without weakness, and imaging revealed a posterior mass from T9 causing spinal cord compression and bone erosion. The tumor was completely separated from the spinal nerve root. The tumors from both patients were confirmed as schwannomas. Tumor recurrence was not observed at the 2-4 year follow-up. Although rare, SIS should be considered during differential diagnosis and can affect treatment planning. SIS symptoms vary depending on tumor location, and fusion is frequently necessary for spinal reconstruction after complete tumor resection. |
format | Online Article Text |
id | pubmed-4502249 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-45022492015-07-15 Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma Zhang, Fan Lu, Feizhou Jiang, Jianyuan Wang, Hongli J Korean Neurosurg Soc Case Report We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging examinations revealed a mass with lesions in L4 vertebral body causing bone destruction and spinal cord compression. Complete resection of the well-demarcated tumor and posterior fusion were performed. A 54-year-old female reported bilateral gait disturbance, paresthesia, and numbness without weakness, and imaging revealed a posterior mass from T9 causing spinal cord compression and bone erosion. The tumor was completely separated from the spinal nerve root. The tumors from both patients were confirmed as schwannomas. Tumor recurrence was not observed at the 2-4 year follow-up. Although rare, SIS should be considered during differential diagnosis and can affect treatment planning. SIS symptoms vary depending on tumor location, and fusion is frequently necessary for spinal reconstruction after complete tumor resection. The Korean Neurosurgical Society 2015-06 2015-06-30 /pmc/articles/PMC4502249/ /pubmed/26180620 http://dx.doi.org/10.3340/jkns.2015.57.6.478 Text en Copyright © 2015 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Zhang, Fan Lu, Feizhou Jiang, Jianyuan Wang, Hongli Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title | Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title_full | Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title_fullStr | Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title_full_unstemmed | Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title_short | Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma |
title_sort | two case reports and an updated review of spinal intraosseous schwannoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502249/ https://www.ncbi.nlm.nih.gov/pubmed/26180620 http://dx.doi.org/10.3340/jkns.2015.57.6.478 |
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