Intraosseous schwannoma originating from the posterior column of the thoracic spine

Kojima, M.; Seichi, Atsushi; Yamamuro, Kenichi; Inoue, Hirokazu; Kimura, Atsushi; Hoshino, Yuichi

doi:10.1007/s00586-010-1456-0

Cited by 17 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although SIS is quite rare, a number of cases have been published in the last 30 years 1 2 3 4 7 10 11 12 13 14 15 16 17 18 19 21 22 24 27) . We looked at images in the cited articles and found classic pre- and intra-operative images of SIS to ensure that there was no connection between the tumor and nerve tissue, but the photos were not always convincing.…”

Section: Discussionmentioning

confidence: 99%

Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma

Zhang

Jiang

et al. 2015

J Korean Neurosurg Soc

View full text Add to dashboard Cite

We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging examinations revealed a mass with lesions in L4 vertebral body causing bone destruction and spinal cord compression. Complete resection of the well-demarcated tumor and posterior fusion were performed. A 54-year-old female reported bilateral gait disturbance, paresthesia, and numbness without weakness, and imaging revealed a posterior mass from T9 causing spinal cord compression and bone erosion. The tumor was completely separated from the spinal nerve root. The tumors from both patients were confirmed as schwannomas. Tumor recurrence was not observed at the 2-4 year follow-up. Although rare, SIS should be considered during differential diagnosis and can affect treatment planning. SIS symptoms vary depending on tumor location, and fusion is frequently necessary for spinal reconstruction after complete tumor resection.

show abstract

Section: Discussionmentioning

confidence: 99%

Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma

Zhang

Jiang

et al. 2015

J Korean Neurosurg Soc

View full text Add to dashboard Cite

show abstract

“…As with most benign neoplasms, neurilemmomas respond favorably to local resection surgery. 14 Decompression and surgical resection of tumor are the primary therapy, with or without further fusion. For T-spine neurilemmoma of Case 1, we performed tumor resection with posterior instrumented fusion because the tumor was located at the physiologic kyphotic curve of the T spine, and postoperative progressive kyphosis could happen without instrumentation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcome of Spinal Neurilemmoma

Yeh

Lee

et al. 2015

Medicine

View full text Add to dashboard Cite

Neurilemmoma commonly occurs from the fourth to sixth decades of life with an incidence of 3 to 10 per 100,000 people, and is rare in adolescence. This case report describes the clinical and radiographic features of 2 rare cases with intraspinal neurilemmoma of the cervical and thoracic spine.A 29-year-old man who experienced middle back pain with prominent right lower limb weakness, and an 11-year-old boy who suffered from sudden onset neck pain with left arm weakness and hand clawing for 2 weeks before admission to our department were included in this case report.Magnetic resonance imaging of both patients revealed an intraspinal mass causing spinal cord compression at the cervical and thoracic spine. The patients subsequently received urgent posterior spinal cord decompression and tumor resection surgery. The histopathology reports revealed neurilemmoma. The 2 patients recovered and resumed their normal lives within 1 year.Intraspinal neurilemmoma is rare but should be considered in the differential diagnosis of spinal cord compression. Advances in imaging techniques and surgical procedures have yielded substantially enhanced clinical outcomes in intraspinal neoplasm cases. Delicate preoperative study and surgical skill with rehabilitation and postoperative observation are critical.

show abstract

“…Intraosseous schwannomas generally involve the anterior column of the spine. The tumor's chronic pressure and erosion on the vertebral body and the pedicle can result in scalloping of the vertebra, pedicle erosion and widening of the foramen; however, involvement of the posterior column has also been reported (12).…”

Section: Discussionmentioning

confidence: 99%

Lumbar intraosseous schwannoma : case report and review of the literature

Song¹,

Chen²,

Song³

et al. 2014

Turkish Neurosurgery

View full text Add to dashboard Cite

Intraosseous schwannomas of the mobile spine are extremely rare. To our knowledge, only 21 cases have been reported in the literature. In this report, we present a case of schwannoma involving the lumbar spine, with a review of the literature and discussion of this rare tumor. A 44-yearold male presented with a 3-year history of intermittent low back pain, with radiation into the right lower extremity during the last 2 years. Radiographs revealed an approximately 4×4 cm irregular mass with marginal sclerosis located at the L5 vertebra, involving the right pedicle and extruding into the spinal canal. The tumor was resected completely and was confirmed as schwannoma by histological examination. At follow-up after 12 months, the patient was free of pain and with no recurrence. Despite its low incidence, intraosseous schwannomas should be considered as the differential diagnosis of an extradural mass involving the vertebrae. Surgery is the preferred treatment method and usually carries a good prognosis. KEywoRds: Intraosseous schwannoma, Lumbar vertebra, Surgery ÖZHareketli omurganın intraosseöz şıvanomları son derece nadirdir. Bildiğimiz kadarıyla literatürde sadece 21 olgu bildirilmiştir. Bu raporda bir literatür derlemesi ile birlikte lomber omurgayla ilgili bir şıvanom olgusu sunuyor ve bu nadir tümörü tartışıyoruz. 44 yaşında bir erkek hasta 3 yıldır devam eden ve son 2 yıldır sağ alt ekstremiteye yayılan aralıklı bel ağrısı öyküsüyle geldi. Radyografiler L5 vertebrada sağ pedikülü tutan ve spinal kanal içine ekstrüzyon yapan, marjinal sklerozlu yaklaşık 4x4 cm irregüler kitle gösterdi. Tümör rezeksiyonla tamamen çıkarıldı ve histolojik incelemede şıvanom olduğu doğrulandı. 12 aylık takipte hastada ağrı veya nüks yoktu. Düşük insidansına rağmen intraosseöz şıvanomlar vertebraları tutan ekstradural kitlelerin ayırıcı tanısında dikkate alınmalıdır. Tercih edilen tedavi yöntemi cerrahidir ve prognoz genellikle iyidir.

show abstract

Intraosseous schwannoma originating from the posterior column of the thoracic spine

Cited by 17 publications

References 13 publications

Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma

Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma

Surgical Outcome of Spinal Neurilemmoma

Lumbar intraosseous schwannoma : case report and review of the literature

Contact Info

Product

Resources

About