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Giant invasive schwannoma of cauda equina with minimal neurologic deficit: a case report and literature review.
Kaohsiung J Med Sci. 2008 Apr; 24(4):212-7.KJ

Abstract

A 53-year-old man presented with a history of slight weakness in the right lower limb. Giant invasive cauda equina schwannoma was diagnosed according to the criteria of Sridhar et al. Schwannomas are usually benign and common tumors arising from nerve sheath cells, particularly from sensory nerves. Giant invasive schwannomas, however, are rare, and most of patients with them present with severe neurologic deficits independent of daily activity, although in the case presented here, in spite of the large size of the tumor causing pedicle erosion, expansive destruction of the vertebral body and widening of the neural foramina, there were only minimal neurologic deficits. We have therefore decided to report this case, with a review of the relevant English literature emphasizing clinical presentations, plain film images and magnetic resonance image findings of giant invasive cauda equina schwannoma for early diagnosis and differential diagnosis.

Authors+Show Affiliations

Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18424359

Citation

Hung, Chen-Hsiang, et al. "Giant Invasive Schwannoma of Cauda Equina With Minimal Neurologic Deficit: a Case Report and Literature Review." The Kaohsiung Journal of Medical Sciences, vol. 24, no. 4, 2008, pp. 212-7.
Hung CH, Tsai TH, Lieu AS, et al. Giant invasive schwannoma of cauda equina with minimal neurologic deficit: a case report and literature review. Kaohsiung J Med Sci. 2008;24(4):212-7.
Hung, C. H., Tsai, T. H., Lieu, A. S., Lin, C. L., Lee, K. S., Hwang, S. L., & Howng, S. L. (2008). Giant invasive schwannoma of cauda equina with minimal neurologic deficit: a case report and literature review. The Kaohsiung Journal of Medical Sciences, 24(4), 212-7. https://doi.org/10.1016/S1607-551X(08)70120-7
Hung CH, et al. Giant Invasive Schwannoma of Cauda Equina With Minimal Neurologic Deficit: a Case Report and Literature Review. Kaohsiung J Med Sci. 2008;24(4):212-7. PubMed PMID: 18424359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Giant invasive schwannoma of cauda equina with minimal neurologic deficit: a case report and literature review. AU - Hung,Chen-Hsiang, AU - Tsai,Tai-Hsin, AU - Lieu,Ann-Shung, AU - Lin,Chih-Lung, AU - Lee,Kung-Shing, AU - Hwang,Shiuh-Lin, AU - Howng,Shen-Long, PY - 2008/4/22/pubmed PY - 2008/9/4/medline PY - 2008/4/22/entrez SP - 212 EP - 7 JF - The Kaohsiung journal of medical sciences JO - Kaohsiung J Med Sci VL - 24 IS - 4 N2 - A 53-year-old man presented with a history of slight weakness in the right lower limb. Giant invasive cauda equina schwannoma was diagnosed according to the criteria of Sridhar et al. Schwannomas are usually benign and common tumors arising from nerve sheath cells, particularly from sensory nerves. Giant invasive schwannomas, however, are rare, and most of patients with them present with severe neurologic deficits independent of daily activity, although in the case presented here, in spite of the large size of the tumor causing pedicle erosion, expansive destruction of the vertebral body and widening of the neural foramina, there were only minimal neurologic deficits. We have therefore decided to report this case, with a review of the relevant English literature emphasizing clinical presentations, plain film images and magnetic resonance image findings of giant invasive cauda equina schwannoma for early diagnosis and differential diagnosis. SN - 1607-551X UR - https://www.unboundmedicine.com/medline/citation/18424359/Giant_invasive_schwannoma_of_cauda_equina_with_minimal_neurologic_deficit:_a_case_report_and_literature_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1607-551X(08)70120-7 DB - PRIME DP - Unbound Medicine ER -