دورية أكاديمية
Simultaneous L1-2 Bulged Disc and Mobile Spinal Schwannoma Causing Cauda Equina Syndrome: A Rare Case Report.
| العنوان: | Simultaneous L1-2 Bulged Disc and Mobile Spinal Schwannoma Causing Cauda Equina Syndrome: A Rare Case Report. |
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| المؤلفون: | Khorram R; Bone & Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Watson J; Department of Neurosurgery, Georgetown University, Comprehensive Brain Tumor Center, MedStar Georgetown, Washington, DC, USA. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2024 May 25; Vol. 25, pp. e942717. Date of Electronic Publication: 2024 May 25. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Neurilemmoma*/complications , Neurilemmoma*/surgery , Neurilemmoma*/diagnostic imaging , Cauda Equina Syndrome*/etiology , Cauda Equina Syndrome*/surgery , Intervertebral Disc Displacement*/surgery , Intervertebral Disc Displacement*/complications , Lumbar Vertebrae*/surgery , Lumbar Vertebrae*/diagnostic imaging, Humans ; Male ; Middle Aged ; Magnetic Resonance Imaging ; Spinal Neoplasms/complications ; Spinal Neoplasms/surgery ; Spinal Neoplasms/diagnostic imaging ; Spinal Cord Neoplasms/complications ; Spinal Cord Neoplasms/surgery ; Spinal Cord Neoplasms/diagnostic imaging |
| مستخلص: | BACKGROUND Aside from the rarity of mobile spinal schwannomas, the coexistence of these tumors with herniated intervertebral disc is also scarce. Furthermore, cauda equina syndrome (CES), as a manifestation of intraspinal schwannomas has been reported rarely. Described here is a case of simultaneous lumbar disc bulge and mobile spinal schwannoma presented with intermittent symptoms of CES. CASE REPORT A 62-year-old man presented with severe but intermittent leg pain for 2 weeks, which later progressed to an episode of lower extremity weakness and difficulty in urination. Magnetic resonance imaging revealed an intraspinal tumor that moved in position relative to the L1-2 disc bulge on scans 6 h apart, with associated spontaneous regression in symptoms. The tumor was found to be a mobile spinal schwannoma, originated from a nerve root. A standard microdissection technique was used to remove the tumor through a spinous process-sparing unilateral approach, with complete laminectomy of L1. Use of intraoperative ultrasound facilitated the accurate tumor localization. Postoperatively, the patient no longer had symptoms. CONCLUSIONS This report presents a combination of a common spinal pathology, intervertebral disc herniation, alongside a rare condition, mobile spinal schwannoma, whose uncommon clinical manifestations, such as CES can cause irreversible neurological deficits. Surgeons need to remain vigilant of potential atypical scenarios when treating patients. Surgical treatment challenges regarding the mobility of tumors, such as accurate localization, should be addressed using intraoperative imaging to avoid wrong-level surgery. To mitigate the irreversible neurological complications, patients should receive comprehensive information for alarming signs of CES. |
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| تواريخ الأحداث: | Date Created: 20240525 Date Completed: 20240525 Latest Revision: 20240601 |
| رمز التحديث: | 20240601 |
| مُعرف محوري في PubMed: | PMC11138359 |
| DOI: | 10.12659/AJCR.942717 |
| PMID: | 38794785 |
| قاعدة البيانات: | MEDLINE |
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