Intradural extramedullary cystic schwannoma of the cervical spine

Yıl 2019, Cilt: 5 Sayı: 3, 572 - 575, 04.05.2019

Elif Başaran Gündoğdu Mehmet Ali Ekici

https://doi.org/10.18621/eurj.384041

Öz

Giant cervical intradural extramedullary schwannoma
with severe spinal cord compression is a rare entity. Tumor spread and size are
very important for surgical approach. In this case, we report a 55-years-old
male patient with a giant intradural-extramedullary cervical schwannoma extending
between C5 and T1 and causing spinal cord compression that underwent total
resection with laminoplasty at C5-6-7 levels. The patient developed no
additional deficit. To preserve the cervical lordosis, the patient used a
cervical collar for three months. There has been no recurrence during two years
of follow-up. Using the appropriate surgical method is essential in patients
with spinal tumor in order to avoid additional neurological deficits and
achieve cure. 

Anahtar Kelimeler

cervical schwannoma, laminoplasty, intradural extramedullary tumor

Kaynakça

• [1] Iacopino DG, Giugno A, Gulì C, Basile L, Graziano F, Maugeri R. Surgical nuances on the treatment of giant dumbbell cervical spine schwannomas: description of a challenging case and review of the literature. Spinal Cord Ser Cases 2016;2:15042.
• [2] Mc.Cormick PC, Stein BM. Spinal Cord Tumors in Adults. In Youmans Julian R (Ed) Neurosurgical Surgery. 6th Edition. Volume 3, Ch 309. WB Saunders Company. 2011 (CD Edition).
• [3] Quillo-Olvera J, Lin GX, Kim JS. Severe spinal cord compression by pure giant intradural schwannoma of cervical spine. World Neurosurg 2018;110:17-9.
• [4] Pan E, Prados MD. Spinal cord tumors, in Kufe DW, Pollock RE, Weichselbaum RR, et al (eds): Holland-Frei Cancer Medicine, 6th ed. Hamilton, ON: BC Decker, 2003.
• [5] 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;61:34-43; discussion 44.
• [6] De Verdelhan O, Haegelen C, Carsin-Nicol B, Riffaud L, Amlashi SF, Brassier G, et al. MR imaging features of spinal schwannomas and meningiomas. J Neuroradiol 2005;32:42-9.
• [7] Gu BS, Park JH, Roh SW, Jeon SR, Jang JW, Hyun SJ, et al. Surgical strategies for removal of intra- and extraforaminal dumbbell-shaped schwannomas in the subaxial cervical spine. Eur Spine J 2015;24:2114-8.
• [8] Kim SH, Doh JW, Yoon SM, Yun IG. Huge schwannoma extended from craniocervical junction to upper thoracic spine. J Korean Neurosurg Soc 2003;34:589-92.
• [9] Wong AP, Lall RR, Dahdaleh NS, Lawton CD, Smith ZA, Wong RH, et al. Comparison of open and minimally invasive surgery for intradural-extramedullary spine tumors. Neurosurg Focus 2015;39:E11.