Surgical Outcome of Spinal Neurilemmoma

Abstract

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.

Schwannoma of the lumbar spine, presenting with pain of the knee, like an osteoid osteoma, in a 10‐year‐old girl

“…4 Yeh et al have published an 11-year-old boy with schwannoma of the C 6-7 that was presented with forearm pain and progressive weakness and clawing hand. 11 Mohanty et al reported another schwannoma of the neck in a 10-year-old boy, presented also with swelling in the neck and symptoms from swallowing and voice hoarseness that was arising from C 4 body and with destruction of the vertebral body. 12 Landi et al described the case of a 8-year-old female affected by a progressive paraparesis.…”

“…Pokharel et al report an extradural cervical spinal schwannoma, in a 14‐year‐old child, that was presented with a single swelling of the posterior triangle of the neck with normal muscle strength and absence of sensory deficit 4 . Yeh et al have published an 11‐year‐old boy with schwannoma of the C 6‐7 that was presented with forearm pain and progressive weakness and clawing hand 11 . Mohanty et al reported another schwannoma of the neck in a 10‐year‐old boy, presented also with swelling in the neck and symptoms from swallowing and voice hoarseness that was arising from C 4 body and with destruction of the vertebral body 12 .…”

Surgical Outcome of Spinal Neurilemmoma

“…In the article “Surgical Outcome of Spinal Neurilemmoma: Two Case Reports”, 1 which appeared in Volume 94, Issue 5 of Medicine , Dr. Kuang-Ting Yeh's credentials were incorrectly listed as MD, PhD. Dr. Yeh is an MD and not a PhD.…”