[Clinical manifestations and diagnosis of subarachnoid extraspinal neurilemoma an analysis of 22 cases].
The clinical manifestations of 22 subarachnoid extraspinal neuilemomas are presented and problems related to its diagnosis discussed. Among the 15 cases followed for 5-6 years, 10 were completely cured, 4 cured and resumed work with only some mild symptoms, and one with partial improvement. No recurrence was found. It was emphasized that neurilemomas in the spinal canal may often be confused with protrusion of intervertebral disc because of similar clinical manifestations. The author's suggestion is that in patients with progressively increasing severe pain, scattered points of tenderness on the back, multiple nerve root symptoms or even with saddle numbness, and repeated poor treatment results, further examinations such as CSF, myelography, and if necessary, CT scan should be undertaken for proper diagnosis.
Huang
Y S
YS
August First Hospital, PLA, Nanjing.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D009442:Neurilemmoma / Q000175:diagnosis*; D013346:Subarachnoid Space