[Intraspinal neurinoma in the thoracolumbar junction presenting unusual symptoms. The differential diagnosis of lumbago].
After more than a year of persistent lumbosacral pain a 53-year-old woman suddenly developed unilateral monoradicular pain over the S1 dermatome. Neurological, general medical and biochemical examinations were unremarkable, but myelography and magnetic resonance imaging revealed a cystic intraspinal space-occupying lesion at the level of L1, which was completely excised surgically. It proved to be a neurinoma, 5 x 3 x 3 cm, completely filling the spinal canal at the junction between the conus medullaris and the cauda equinus. The patient was without symptoms and neurological deficit after the operation. The tumour having been completely removed, the prognosis is good.
Bauer
M
M
Neurologische Klinik und Poliklinik, Freien Universität Berlin.
Brock
M
M
Cervós-Navarro
J
J
Prosenc
N
N
Marx
P
P
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009192:Myelography; D009442:Neurilemmoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
Intraspinales Neurinom im thorako-lumbalen Ubergang mit ungewöhnlicher Symptomatik. Ein Beitrag zur Differentialdiagnose von Kreuzschmerzen.