Lumbar Cystic Intradural Schwannoma: A Case Report

Background Data: Intradural lumbar cystic schwannomas are very rare entity and only about 10 case reports have been reported in the literature. The diagnosis and management remains a challenge for clinical physicians. Purpose: Our objective in presenting this particular case is to highlight the aty...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Narmer Azzam, Mostafa Elaskary
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2014
Materias:
Acceso en línea:https://doaj.org/article/8c0e01494bbf48a1b059a4c00ac23a0c
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:8c0e01494bbf48a1b059a4c00ac23a0c
record_format dspace
spelling oai:doaj.org-article:8c0e01494bbf48a1b059a4c00ac23a0c2021-12-02T05:59:12ZLumbar Cystic Intradural Schwannoma: A Case ReportDOI:10.21608/ESJ.2014.38702314-89502314-8969https://doaj.org/article/8c0e01494bbf48a1b059a4c00ac23a0c2014-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3870.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Intradural lumbar cystic schwannomas are very rare entity and only about 10 case reports have been reported in the literature. The diagnosis and management remains a challenge for clinical physicians. Purpose: Our objective in presenting this particular case is to highlight the atypical radiological features of intradural spinal schwannoma and how to deal with it surgically and follow up. Study Design: case report. Material and Methods: A case of cystic intradural lesion in a previously healthy 29 years old male is reported. Low back pain and lately right sciatica were the only symptoms. After pre-operative evaluation and preparation, this patient was operated on prone position under general anesthesia. Results: Although the lesion originates from nerve tissue, only 50% of cases have a direct relation with the nerve. Hence complete excision without sacrificing nerve roots is usually feasible and is curative in most cases as in our case. The patient recovered totally intact without any motor, sensory or sphincteric disturbance. The postoperative histological picture of cystic schwannoma, which was not in the preoperative list of differential diagnoses, is discussed. Conclusion: A successful surgical outcome depends on early diagnosis [before neurological damage has occurred], meticulous investigation [on any intractable nonspecific low back pain], and complete excision. (2014ESJ066) Narmer AzzamMostafa ElaskaryEgyptian Spine AssociationarticleIntraduralSchwannomaCysticLumbarNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 9, Iss 1, Pp 36-40 (2014)
institution DOAJ
collection DOAJ
language EN
topic Intradural
Schwannoma
Cystic
Lumbar
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Intradural
Schwannoma
Cystic
Lumbar
Neurology. Diseases of the nervous system
RC346-429
Narmer Azzam
Mostafa Elaskary
Lumbar Cystic Intradural Schwannoma: A Case Report
description Background Data: Intradural lumbar cystic schwannomas are very rare entity and only about 10 case reports have been reported in the literature. The diagnosis and management remains a challenge for clinical physicians. Purpose: Our objective in presenting this particular case is to highlight the atypical radiological features of intradural spinal schwannoma and how to deal with it surgically and follow up. Study Design: case report. Material and Methods: A case of cystic intradural lesion in a previously healthy 29 years old male is reported. Low back pain and lately right sciatica were the only symptoms. After pre-operative evaluation and preparation, this patient was operated on prone position under general anesthesia. Results: Although the lesion originates from nerve tissue, only 50% of cases have a direct relation with the nerve. Hence complete excision without sacrificing nerve roots is usually feasible and is curative in most cases as in our case. The patient recovered totally intact without any motor, sensory or sphincteric disturbance. The postoperative histological picture of cystic schwannoma, which was not in the preoperative list of differential diagnoses, is discussed. Conclusion: A successful surgical outcome depends on early diagnosis [before neurological damage has occurred], meticulous investigation [on any intractable nonspecific low back pain], and complete excision. (2014ESJ066)
format article
author Narmer Azzam
Mostafa Elaskary
author_facet Narmer Azzam
Mostafa Elaskary
author_sort Narmer Azzam
title Lumbar Cystic Intradural Schwannoma: A Case Report
title_short Lumbar Cystic Intradural Schwannoma: A Case Report
title_full Lumbar Cystic Intradural Schwannoma: A Case Report
title_fullStr Lumbar Cystic Intradural Schwannoma: A Case Report
title_full_unstemmed Lumbar Cystic Intradural Schwannoma: A Case Report
title_sort lumbar cystic intradural schwannoma: a case report
publisher Egyptian Spine Association
publishDate 2014
url https://doaj.org/article/8c0e01494bbf48a1b059a4c00ac23a0c
work_keys_str_mv AT narmerazzam lumbarcysticintraduralschwannomaacasereport
AT mostafaelaskary lumbarcysticintraduralschwannomaacasereport
_version_ 1718400120572084224