Intradural Extramedullary Schwannoma of the Thoracic Spine with Intratumoral Haemorrhage

Abstract

Schwannomas are the commonest intradural extramedullary tumors of the spine, mostly present in the cervical and lumbar regions. Spinal schwannomas with intratumoral haemorrhage are very rare lesions. Authors here present a 40-year’s old male with a 2 year history of pain in the thoracic region and acute onset of spastic paraparesis and cauda equina syndrome. Magnetic Resonance Imaging (MRI) of his thoracic spine demonstrated a heterogeneous intradural extramedullary lesion with no associated enhancement. After emergent removal of the mass, histopathology revealed schwannoma with intratumoral haemorrhage.