Multiple Medullary Schwannoma Associated with Lumbar Disc Herniation and Cauda Equina Syndrome: Case Report

IF 0.1 Q4 SURGERY

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI:10.1055/s-0042-1744111

Anibal Rodrigues Neto, Bianca Bicalho, Giovanna Maria Varandas, Adriano Torres Antonucci, Gabriel Gomes Freitas de Castro, Shiro Manoel Shimoakoishi de Arruda, Marcel Schiavini, Lutero Cleuler Moraes dos Santos, Márcio Francisco Lehmann, Francisco Spessatto Pesente

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Abstract

Abstract Introduction Schwannoma is a Schwann cells neoplasm that can occur in various parts of the nervous system, including the medullar region of the cauda equina. Bone involvement is uncommon. Objective To report a multiple schwannoma case that was initially diagnosed as cauda equina syndrome. Clinical Case We report the case of a 44-year-old male who presented with pain irradiating to the lower limbs, urinary retention, and saddle paresthesia. Imaging exams revealed tumors in the cervical spine and in the T12/L1, L2/L3, and L3/L4 levels, the last three causing nervous compression. Histopathological analyses confirmed a Schwannoma pattern. Results The case was solved by surgical resection. Conclusion The case was solved and, in the end, the patient was stable and with improved pain and waits for a cervical surgery.

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多发性髓鞘瘤伴腰椎间盘突出和马尾综合征:病例报告

神经鞘瘤是一种许旺细胞肿瘤，可发生在神经系统的各个部位，包括马尾神经髓质区。骨受累并不常见。目的报告一例最初诊断为马尾综合征的多发性神经鞘瘤病例。我们报告一个44岁男性的病例谁提出疼痛照射到下肢，尿潴留，和马鞍感觉异常。影像学检查显示肿瘤位于颈椎和T12/L1、L2/L3和L3/L4节段，后三个节段引起神经压迫。组织病理学分析证实为神经鞘瘤。结果本病经手术切除治愈。结论患者病情稳定，疼痛减轻，等待颈椎手术。

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