“…The clinical syndrome highlighted by Lesoin et al includes motor de® ciency, reduced sensation and the loss of genitourinary function. 10 Surprisingly, our patient also demonstrated a unique adaptation to the motor de® cit by putting up with clawing of the right hand for 2 years before presentation.…”
Intramedullary cervical spinal cord schwannomas are rare tumours and complete excision is often an elusive goal. The use of the KTP laser to accomplish complete excision has not been reported previously. Postoperatively, our patient had no additional deficit and after 1 year has made a good recovery. This case further highlights the difficulty in interpretation of intraoperative biopsy specimens.
“…The clinical syndrome highlighted by Lesoin et al includes motor de® ciency, reduced sensation and the loss of genitourinary function. 10 Surprisingly, our patient also demonstrated a unique adaptation to the motor de® cit by putting up with clawing of the right hand for 2 years before presentation.…”
Intramedullary cervical spinal cord schwannomas are rare tumours and complete excision is often an elusive goal. The use of the KTP laser to accomplish complete excision has not been reported previously. Postoperatively, our patient had no additional deficit and after 1 year has made a good recovery. This case further highlights the difficulty in interpretation of intraoperative biopsy specimens.
“…13 Tumors arising posteriorly or posterolaterally near the periphery of the cord may be of posterior nerve root origin. 3,20,24,26,29 Wood et al, 26 predicted that if these tumors indeed originated in the dorsal root entry zone, a ''dumbbell'' tumor with both intra-and extramedullary components would be eventually encountered. Pial cell origin tumors could be located anywhere at the periphery of the spinal cord in relation to the pia mater but without association with the posterior root.…”
“…Após revisão da literatura, foram encontrados apenas 26 casos de schwannoma intramedular 2,3,10,12,14,16,17,19,20,22,25,26,27,32,33,37,39 . Os neurofibromas intramedulares são mais raros ainda, apenas 13 casos publicados 7,8,23,29,31,37,40 .…”
RESUMO
IntroduçãoOs tumores intramedulares correspondem a aproximadamente 15% dos tumores espinhais, excluídas as lesões metastáticas 1,34 . O schwannoma e o neurofibroma juntos perfazem 30% dos tumores espinhais e, usualmente, têm localização extramedular 2 . O neurofibroma é uma das mais raras neoplasias que envolvem a medula e suas raízes correspondendo, isoladamente, a 3% dos tumores espinhais. Os schwannomas correspondem a 27% dos tumores espinhais e apenas 1% deles tem localização intrame-
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