Multiple intradural extramedullary tumours presenting with paraplegia after trauma.
Intraspinal nerve-sheath tumours are generally slow growing and are diagnosed after causing symptoms such as back pain and progressive neurological symptoms. We present a rare example of multiple schwannomas located in the thoracolumbar spine in a previously asymptomatic patient who developed severe neurological deficits after a motor-vehicle accident. The exact mechanism of neurological compromise in this patient remains unclear. Circulatory instability in the early post-traumatic course could have contributed to pathogenesis.
Sharifi
Guive
G
Department of Neurosurgery, Loghman Hospital Tehran, Tehran, Iran.
Mortaz
Mehran
M
Parsaei
Babak
B
D000063:Accidents, Traffic; D000328:Adult; D019299:Decompression, Surgical; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009442:Neurilemmoma / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D010264:Paraplegia / Q000209:etiology*; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology*; D020760:Spinal Cord Ischemia / Q000209:etiology*; D013120:Spinal Cord Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000473:pathology; D013124:Spinal Injuries / Q000150:complications*; D013346:Subarachnoid Space / Q000000981:diagnostic imaging / Q000473:pathology; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications