Foraminal lumbar root schwannoma

Autor: Baran Yılmaz, Murat Şakir Ekşi, Mustafa Kemal Demir, Ümit Kepoğlu, Deniz Konya, Zafer Orkun Toktaş
Rok vydání: 2016
Předmět:
Zdroj: The Spine Journal. 16:e595-e596
ISSN: 1529-9430
Popis: A 55-year-old man with a past medical history of livingdonor renal transplant 10 years ago presented with chronic right radicular pain along the course of the right L5 nerve for several months duration. In his neurologic examination, he had sensorial disturbance along the right L5 dermatome. Plain radiographs of the lumbar spine showed enlargement of the right neural foramen without bone destruction (Fig. 1). Magnetic resonance imaging revealed a soft tissue mass in the right L4–L5 neural foramen causing neural foraminal widening and bone remodeling. The mass was heterogeneously hyperintense on T2-weighted image, hypointense to intervertebral disk on T1-weighted image, and showed intense homogeneous enhancement on postcontrast image (Figs. 2 and 3). The transplanted kidney was also seen on the right iliac fossa. The tumor was totally removed through a right L5 laminectomy and right-sided foraminotomy with instrumentation (Fig. 4). Histopathologic diagnosis was benign schwannoma. The patient was discharged without any motor deficit.
Databáze: OpenAIRE