Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review
| Autor: | Vrettos Chaniotis, Christos Tsitsipanis, Christos Koutserimpas, George Samonis, Dimitris A. Karabetsos, Kalliopi Alpantaki, Antonios Vakis |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Cancer Research medicine.medical_specialty medicine.diagnostic_test Decompression business.industry medicine.medical_treatment Laminectomy Magnetic resonance imaging Articles Schwannoma musculoskeletal system medicine.disease Asymptomatic nervous system diseases Facet joint Surgery medicine.anatomical_structure Oncology medicine medicine.symptom Subdural space Paraplegia business |
| Zdroj: | Mol Clin Oncol |
| ISSN: | 2049-9469 2049-9450 |
| Popis: | Spinal schwannomas account for one third of primary spinal neoplasms. Clinical presentation is related to the tumor location. An atypical case of acute paraplegia following a fall, on the ground of a thoracolumbar schwannoma, without intratumoral hemorrhage, in a previously asymptomatic patient is reported. A 58-year-old male patient presented with acute paraplegia, and urinary and bowel incontinence, following a fall. The patient had no previous history of back and/or leg pain or neurological symptoms. Magnetic resonance imaging revealed a subdural mass, as well as a fracture of the right T12-L1 facet joint and the right transverse process. The patient underwent emergency T11-L1 wide laminectomy, exploration of the subdural space and T10-L2 posterolateral transpedicular stabilization and fusion. An intradural, extramedullary mass, causing severe cord compression, was found and excised. Pathology revealed schwannoma, without intratumoral hemorrhage. The patient recovered completely 6 months postoperatively. To the best of our knowledge, this is the first report of spinal intradural schwannoma causing sudden paraplegia in a previously asymptomatic patient in the setting of trauma, without intratumoral hemorrhage. Emergency canal decompression and complete excision of the tumor represent the optimal management of such cases. |
| Databáze: | OpenAIRE |
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