Multiple Medullary Schwannoma Associated with Lumbar Disc Herniation and Cauda Equina Syndrome: Case Report

Abstract

Introduction Schwannoma is a Schwann cells neoplasm that can occur in various parts of the nervous system, including the medullar region of the cauda equina. Bone involvement is uncommon.

Objective To report a multiple schwannoma case that was initially diagnosed as cauda equina syndrome.

Clinical Case We report the case of a 44-year-old male who presented with pain irradiating to the lower limbs, urinary retention, and saddle paresthesia. Imaging exams revealed tumors in the cervical spine and in the T12/L1, L2/L3, and L3/L4 levels, the last three causing nervous compression. Histopathological analyses confirmed a Schwannoma pattern.

Results The case was solved by surgical resection.

Conclusion The case was solved and, in the end, the patient was stable and with improved pain and waits for a cervical surgery.

Resumo

Introdução Schwannoma é uma neoplasia de células de Schwann que pode ocorrer em diversas partes do sistema nervoso, incluindo a região medular da cauda equina. O acometimento ósseo é incomum.

Objetivo Relatar um caso de schwannoma múltiplo que foi diagnosticado inicialmente como síndrome da cauda equina.

Relato de caso Relatamos o caso de um paciente masculino de 44 anos que apresentou quadro álgico com irradiação para os membros inferiores, retenção urinária e parestesia em cela. Exames de imagem revelaram tumores na cervical e em níveis de T12/L1, L2/L3 e L3/L4, com os três últimos causando compressão nervosa. A análise histopatológica comprovou padrão de schwannoma.

Resultados A correção do quadro se deu através da ressecção cirúrgica.

Conclusão O quadro foi resolvido com o paciente apresentando-se estável e com melhora do quadro álgico. O paciente aguarda cirurgia a nível cervical.

Keywords

schwannoma - neoplasm - lumbalgia

Palavras-chave

schwannoma - neoplasia - lombalgia

Ethics Statement

In the present case report, neither the patient nor any of his data have been identified.

Publikationsverlauf

Eingereicht: 16. September 2021

Angenommen: 18. Januar 2022

Artikel online veröffentlicht:
10. Oktober 2023

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