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Small L4 ventral root schwannoma with acute onset of radicular pain: A case report
BACKGROUND: Patients with cauda equina schwannomas usually present with slowly progressive radiculopathy. Herein, we describe a 34-year-old male who presented with acute radiculopathy attributed to a small L4 ventral root schwannoma. CASE DESCRIPTION: A 34-year-old male suddenly developed left leg p...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247677/ https://www.ncbi.nlm.nih.gov/pubmed/34221624 http://dx.doi.org/10.25259/SNI_438_2021 |
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author | Shimauchi-Ohtaki, Hiroya Hanakita, Junya Takahashi, Toshiyuki Minami, Manabu Kanematsu, Ryo Sakaguchi, Naochika Honda, Fumiaki |
author_facet | Shimauchi-Ohtaki, Hiroya Hanakita, Junya Takahashi, Toshiyuki Minami, Manabu Kanematsu, Ryo Sakaguchi, Naochika Honda, Fumiaki |
author_sort | Shimauchi-Ohtaki, Hiroya |
collection | PubMed |
description | BACKGROUND: Patients with cauda equina schwannomas usually present with slowly progressive radiculopathy. Herein, we describe a 34-year-old male who presented with acute radiculopathy attributed to a small L4 ventral root schwannoma. CASE DESCRIPTION: A 34-year-old male suddenly developed left leg pain. Magnetic resonance imaging (with/without contrast) revealed a small intradural mass lesion involving the L4 nerve root that was enhanced with contrast (size: 9 × 12 × 12 mm). The computed tomography myelogram revealed that the tumor had originated from the L4 ventral root and compressed the dorsal root in the lateral recess. Following a decompressive laminectomy for tumor removal, the patient’s radicular pain improved. The histological diagnosis was consistent with a schwannoma. CONCLUSION: Small cauda equina schwannomas involving ventral nerve roots can cause acute radiculopathy readily relieved with decompressive laminectomies for tumor excision. |
format | Online Article Text |
id | pubmed-8247677 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-82476772021-07-02 Small L4 ventral root schwannoma with acute onset of radicular pain: A case report Shimauchi-Ohtaki, Hiroya Hanakita, Junya Takahashi, Toshiyuki Minami, Manabu Kanematsu, Ryo Sakaguchi, Naochika Honda, Fumiaki Surg Neurol Int Case Report BACKGROUND: Patients with cauda equina schwannomas usually present with slowly progressive radiculopathy. Herein, we describe a 34-year-old male who presented with acute radiculopathy attributed to a small L4 ventral root schwannoma. CASE DESCRIPTION: A 34-year-old male suddenly developed left leg pain. Magnetic resonance imaging (with/without contrast) revealed a small intradural mass lesion involving the L4 nerve root that was enhanced with contrast (size: 9 × 12 × 12 mm). The computed tomography myelogram revealed that the tumor had originated from the L4 ventral root and compressed the dorsal root in the lateral recess. Following a decompressive laminectomy for tumor removal, the patient’s radicular pain improved. The histological diagnosis was consistent with a schwannoma. CONCLUSION: Small cauda equina schwannomas involving ventral nerve roots can cause acute radiculopathy readily relieved with decompressive laminectomies for tumor excision. Scientific Scholar 2021-06-21 /pmc/articles/PMC8247677/ /pubmed/34221624 http://dx.doi.org/10.25259/SNI_438_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Shimauchi-Ohtaki, Hiroya Hanakita, Junya Takahashi, Toshiyuki Minami, Manabu Kanematsu, Ryo Sakaguchi, Naochika Honda, Fumiaki Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title | Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title_full | Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title_fullStr | Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title_full_unstemmed | Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title_short | Small L4 ventral root schwannoma with acute onset of radicular pain: A case report |
title_sort | small l4 ventral root schwannoma with acute onset of radicular pain: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247677/ https://www.ncbi.nlm.nih.gov/pubmed/34221624 http://dx.doi.org/10.25259/SNI_438_2021 |
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