Subscribe to RSS

DOI: 10.1055/a-2482-9271
Right Thoracoscopic, Robot-Assisted Resection of an Apical Mediastinal C7 Schwannoma
Funding None.

Abstract
Spinal schwannomas are benign, slow-growing tumors originating from Schwann cells, constituting 25 to 30% of primary spinal neoplasms and most frequently arise from sensory nerve roots in the cervical or thoracic spine.[1] [2] [3] Although generally nonaggressive, their growth can result in significant neurological deficits due to compression of surrounding structures such as the spinal cord or nerve roots.[4] [5] Patients commonly present with localized pain, muscle weakness, and sensory disturbances.[5] [6] Imaging techniques such as MRI or CT assist in identifying these tumors, and surgical resection is recommended when they cause progressive symptoms or neurological decline.[7] [8] Recent advances in surgical techniques have improved the precision of schwannoma resections, reducing intraoperative complications, facilitating patient recovery, and improving overall patient outcomes.[9]
Authors' Contributions
The primary surgeons involved in the procedure were Dr. Zachary Smith, Dr. J. Matthew Reinersman, and Dr. Lance Villanueva, who holds both an MD and PhD. The video and abstract were edited and drafted by Spencer J. Oslin, BS, Dr. Helen H. Shi, and Dr. Fauzziya Y. Muhammad, who holds both an MD and PhD. The critical review and final approval of the work were provided by Spencer J. Oslin, BS, and Dr. Zachary A. Smith.
Supplemental Information
We obtained the necessary patient informed consent for this study.
Publication History
Received: 20 October 2024
Accepted: 11 November 2024
Article published online:
26 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Annegers JF, Schoenberg BS, Okazaki H, Kurland LT. Epidemiologic study of primary intracranial neoplasms. Arch Neurol 1981; 38 (04) 217-219
- 2 Seppälä MT, Haltia MJ, Sankila RJ, Jääskeläinen JE, Heiskanen O. Long-term outcome after removal of spinal schwannoma: a clinicopathological study of 187 cases. J Neurosurg 1995; 83 (04) 621-626
- 3 Jinnai T, Koyama T, Koyama T. Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases. Neurosurgery 2005; 56 (03) 510-515 , discussion 510–515
- 4 Celli P, Trillò G, Ferrante L. Spinal extradural schwannoma. J Neurosurg Spine 2005; 2 (04) 447-456
- 5 Dorsi MJ, Belzberg AJ. Paraspinal nerve sheath tumors. Neurosurg Clin N Am 2004; 15 (02) 217-222 , vii
- 6 Jinnai T, Koyama T. Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases. Neurosurgery 2005; 56 (03) 510-515 , discussion 510–515
- 7 Osborn AG. Diagnostic Neuroradiology. Mosby Inc.; 1994
- 8 Abul-Kasim K, Thurnher MM, McKeever P, Sundgren PC. Intradural spinal tumors: current classification and MRI features. Neuroradiology 2008; 50 (04) 301-314
- 9 Murovic JA, Charles Cho S, Park J. Surgical strategies for managing foraminal nerve sheath tumors: the emerging role of CyberKnife ablation. Eur Spine J 2010; 19 (02) 242-256