Intratumoral hemorrhage of spinal schwannoma of the cauda equina manifesting as acute paraparesis--case report.
A 64-year-old man presented with spinal schwannoma of the cauda equina at the thoraco-lumbar junction manifesting as acute paraparesis and urinary incontinence after intratumoral hemorrhage. Surgical resection of the tumor resulted in significant neurological recovery. T(2)(*)-weighted gradient-echo magnetic resonance imaging is very useful to help establish the preoperative diagnosis, leading to early surgical intervention and better outcome after surgery.
Ichinose
Tsutomu
T
Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Takami
Toshihiro
T
Yamamoto
Naoki
N
Tsuyuguchi
Naohiro
N
Ohata
Kenji
K
D000208:Acute Disease; D001416:Back Pain / Q000209:etiology / Q000503:physiopathology; D002420:Cauda Equina / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D020335:Paraparesis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D010524:Peripheral Nervous System Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011128:Polyradiculopathy / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011237:Predictive Value of Tests; D011859:Radiography; D012680:Sensitivity and Specificity; D013126:Spinal Nerve Roots / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology