Concurrent schwannoma and intradural neuroma after resection of a cauda equina schwannoma. A case report and first description.
Acta Neurochir (Wien). 2010 Jun; 152(6):1061-3; discussion 1063.AN

Abstract

PURPOSE

We present the case of a 33-year-old female complaining of recurrent pain and sensory disturbance in both legs, 3 years after the removal of a schwannoma at the level of L2/3.

METHODS

Magnetic resonance imaging showed two lesions at the site of the previous operation. Assuming tumour recurrence, the patient was referred for surgery.

RESULTS

Intraoperatively, both an intradural neuroma and a schwannoma were found. Histopathological assessment confirmed the diagnosis of both coexisting entities.

CONCLUSIONS

Neuroma should be considered in the differential diagnosis of spinal lesions, particularly in the assumption of recurrence.

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Authors+Show Affiliations

Ulrich CT
Department of Neurosurgery, Goethe University, Frankfurt am Main, Germany. ulrich@med.uni-frankfurt.de
Sommerlad D
No affiliation info available
Szelenyi A
No affiliation info available
Seifert V
No affiliation info available
Marquardt G
No affiliation info available

MeSH

AdultCauda EquinaDiagnosis, DifferentialFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMicrosurgeryNeoplasm Recurrence, LocalNeoplasm, ResidualNeoplasms, Multiple PrimaryNeurilemmomaNeuromaPeripheral Nervous System NeoplasmsPostoperative ComplicationsReoperationSpinal Cord Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19834641