Document Detail


Intramedullary schwannoma of the spinal cord. A case report and review of the literature.
MedLine Citation:
PMID:  10735772     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 9-year-old boy presented with the numbness in both arms and hands, and neck stiffness. On examination, he had a slight quadriparesis and restricted neck movements. There were no signs of von Recklinghausen's disease. Magnetic resonance imaging (MRI) scan disclosed a gadolinium enhanced intramedullary tumor located at C6-T1 associated with syringomyelia. C6-T1 laminectomies were performed and the intramedullary tumor was totally removed by a microsurgical technique. Postoperative course was uneventful. The pathological examination revealed an intramedullary schwannoma. The occurrence of intramedullary schwannoma in a patient without signs of von Recklinghausen's disease is extremely rare. We have been able to find 57 cases of intramedullary schwannoma reported in the literature. Intramedullary schwannomas are usually seen in males. The ages of the patients ranged from 9 to 75 years (mean 40.44 years). Only 4 cases in the pediatric age group have been reported. The duration of symptoms ranged from 3 months to 20 years (mean 31.03 months). Symptoms and signs varied with the location of tumor. The vertebral levels of intramedullary schwannomas were usually cervical (61%). MRI has been the choice of diagnostic tool in the cases reported since 1986. The majority of the cases showed either a partial or complete recovery in the postoperative period.
Authors:
O Binatli; Y Erşahin; O Korkmaz; U Bayol
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  43     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:  1999 Jun 
Date Detail:
Created Date:  2000-04-25     Completed Date:  2000-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  163-7; discussion 167-8     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Social Security Hospital, Izmir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Child
Humans
Magnetic Resonance Imaging
Male
Nerve Degeneration / pathology
Neurilemmoma / pathology*,  surgery
Schwann Cells / pathology
Spinal Cord Neoplasms / pathology*,  surgery

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