title: [Intramedullary neurinoma. Apropos of a case. Review of the literature].
abstract: The authors present a case of intramedullary neurinoma. A 44 years old patient was admitted for lumbar pain and bilateral sciatica. Neurological examination was normal except for dysuria and diminution of Achilles tendon reflexes. Lumbar spine X-rays and spinal cord angiogram were normal, but myelogram and myelo-scan revealed a fusiform enlargement of the conus medullaris. MRI confirmed this aspect. Total removal of an intramedullary tumor was done, using ultrasonography, operating microscope and ultrasonic aspiration. The post-operative course was uneventful, with, as sequelae a perineal hypoesthesia. Histological examination of the excised tumor revealed a neurinoma. The epidemiology, clinical features, radiology, and surgical treatment of such rare intramedullary tumors are discussed.
authors.affiliation: Service de Neurochirurgie, Hôpital Jean-Munjoz, Besançon.
authors.forename: G
authors.initials: G
authors.lastname: Jacquet
authors.forename: A
authors.initials: A
authors.lastname: Czorny
authors.forename: J
authors.initials: J
authors.lastname: Godard
authors.forename: R
authors.initials: R
authors.lastname: Steimle
authors.forename: D
authors.initials: D
authors.lastname: Wendling
mesh_terms: D000328:Adult; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D009192:Myelography; D009442:Neurilemmoma / Q000175:diagnosis* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Neurinome intramédullaire. A propos d'un cas. Revue de la littérature.