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DOI: 10.1055/s-0043-1768065
Spinal Intramedullary Schwannoma of the Conus
Authors
Abstract
Schwannomas are one of the most common primary spinal tumors representing 30% of all intraspinal lesions. Intramedullary schwannomas constitutes 0.3% of all intraspinal tumors and approximately 1% of spinal cord schwannomas. Majority of the tumors are seen in the cervical (58%), followed by thoracic (32%) and lumbar (10%) regions. Very few are reported at the level of conus medullaris. The important radiologic features of intramedullary schwannoma are predominant extramedullary component, intramedullary spinal tumor with a thickened and enhancing spinal nerve root, absent syrinx, enhancing well with contrast, and sharp margins. The aim of surgery in intramedullary spinal schwannomas is total removal whenever possible. Diagnosing intramedullary schwannoma preoperatively needs high index of suspicion. We are reporting the 10th case of intramedullary schwannoma in the conus region.
Publication History
Article published online:
14 April 2023
© 2023. 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/)
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References
- 1 Binatli O, Erşahin Y, Korkmaz O, Bayol U. Intramedullary schwannoma of the spinal cord. A case report and review of the literature. J Neurosurg Sci 1999; 43 (02) 163-167 , discussion 167–168
- 2 Riffaud L, Morandi X, Massengo S, Carsin-Nicol B, Heresbach N, Guegan Y. MRI of intramedullary spinal schwannomas: case report and review of the literature. Neuroradiology 2000; 42 (04) 275-279
- 3 Ho T, Tai KS, Fan YW, Leong LLY. Intramedullary spinal schwannoma: case report and review of preoperative magnetic resonance imaging features. Asian J Surg 2006; 29 (04) 306-308
- 4 Karatay M, Koktekir E, Erdem Y, Celik H, Sertbas I, Bayar MA. Intramedullary schwannoma of conus medullaris with syringomyelia. Asian J Surg 2017; 40 (03) 240-242
- 5 Teo, L-C. Shen C-Y, Tsai C-H, Liu J-T. Intramedullary schwannoma of the cervical spinal cord. Formosan J Surg 2012; 45: 146-152
- 6 Colosimo C, Cerase A, Denaro L, Maira G, Greco R. Magnetic resonance imaging of intramedullary spinal cord schwannomas. Report of two cases and review of the literature. J Neurosurg 2003; 99 (1, Suppl) 114-117
- 7 Conti P, Pansini G, Mouchaty H, Capuano C, Conti R. Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 2004; 61 (01) 34-43 , discussion 44
- 8 Ryu KS, Lee KY, Lee HJ, Park CK. Thoracic intramedullary schwannoma accompanying by extramedullary beads-like daughter schwannomas. J Korean Neurosurg Soc 2011; 49 (05) 302-304
- 9 Lee SE, Chung CK, Kim HJ. Intramedullary schwannomas: long-term outcomes of ten operated cases. J Neurooncol 2013; 113 (01) 75-81

