title: Intradural tumor and concomitant disc herniation of cervical spine.
abstract: We report a rare patient of a simultaneous extradural and intradural compression of the cervical spinal cord due to co-existent intervertebral disc herniation and an intradural schwannoma at the same level. The intradural lesion was missed resulting in recurrence of myelopathy after a surprisingly complete functional recovery following anterior cervical discectomy. Retrospectively, it was noted that the initial cord swelling noticed was tumor being masked by the compression produced by the herniated disc. A contrast magnetic resonance imaging scan is important in differentiating intradural tumors of the spinal cord. A high index of suspicion is often successful in unmasking both the pathologies.
authors.affiliation: Spine Surgeon, Department of Bone and Joints, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.
authors.forename: Mihir R
authors.initials: MR
authors.lastname: Bapat
authors.forename: Prasanna
authors.initials: P
authors.lastname: Rathi
authors.forename: Uday
authors.initials: U
authors.lastname: Pawar
authors.forename: Kshitij
authors.initials: K
authors.lastname: Chaudhary