Multiple sclerosis and coexisting intradural extramedullary spinal cord tumour: a case report.
We report the coexistence of multiple sclerosis (MS) and an intradural extramedullary spinal cord tumour in a 46-year-old woman with a 2-year history of MS. The patient presented with right hemitrunk and lower extremity paraesthesias, urinary incontinence, and intermittent lower right back and abdominal pain, which did not respond to pulse steroid therapy. A spinal magnetic resonance imaging (MRI) study revealed an intradural extramedullary spinal cord tumour in the lower thoracic spine, later diagnosed as schwannoma. We call attention to this rare association of MS and a spinal cord tumour, and emphasize the need for scrutiny of new and uncommon symptoms during the follow-up of MS patients.
Etus
V
V
Department of Neurosurgery, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Akansel
G
G
Ilbay
K
K
Koç
K
K
Ceylan
S
S
D015746:Abdominal Pain / Q000209:etiology / Q000503:physiopathology; D001921:Brain / Q000473:pathology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007796:Laminectomy; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D009442:Neurilemmoma / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D010292:Paresthesia / Q000209:etiology / Q000503:physiopathology; D013116:Spinal Cord / Q000473:pathology* / Q000503:physiopathology; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology