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Cervical intramedullary schwannoma mimicking a glioma.

Gupta A, Nair BR, Chacko G, Mani S, Joseph V - Asian J Neurosurg (2015 Jan-Mar)

Bottom Line: Preoperative diagnosis of a cervical IS is not always possible.Complete tumor resection is the ideal treatment for IS.Intraoperative frozen section can be a useful for decision making though the tumor-cord plane will ultimately decide if the tumor can be radically excised.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

ABSTRACT
We present a case of a cervical intramedullary schwannoma (IS), which resembled a glioma on radiology. Somatic and root pain, the most common presenting complaints of IS, were lacking in our patient, and the characteristic magnetic resonance finding of an enhancing thickened nerve root in IS, was absent in our case. Preoperative diagnosis of a cervical IS is not always possible. Complete tumor resection is the ideal treatment for IS. Intraoperative frozen section can be a useful for decision making though the tumor-cord plane will ultimately decide if the tumor can be radically excised.

No MeSH data available.


Related in: MedlinePlus

(a and b) One-year follow-up imaging. T2-weighted sagittal image (a) and postgadolinium sagittal image (b) showing thinning of the cord at the operated level and no residual lesion
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Figure 4: (a and b) One-year follow-up imaging. T2-weighted sagittal image (a) and postgadolinium sagittal image (b) showing thinning of the cord at the operated level and no residual lesion

Mentions: Postoperatively, there was a reduction in the spasticity of his limbs and improvement in the hand grip strength bilaterally. There was no neurological worsening. At 1-year follow-up, there was a significant reduction in paraesthesiae and spasticity. His functional grade had improved to Nurick II and he had resumed work. The MRI spine showed no residual enhancing lesion or cyst. There was mild thinning of the cord at the operated site [Figure 4].


Cervical intramedullary schwannoma mimicking a glioma.

Gupta A, Nair BR, Chacko G, Mani S, Joseph V - Asian J Neurosurg (2015 Jan-Mar)

(a and b) One-year follow-up imaging. T2-weighted sagittal image (a) and postgadolinium sagittal image (b) showing thinning of the cord at the operated level and no residual lesion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352628&req=5

Figure 4: (a and b) One-year follow-up imaging. T2-weighted sagittal image (a) and postgadolinium sagittal image (b) showing thinning of the cord at the operated level and no residual lesion
Mentions: Postoperatively, there was a reduction in the spasticity of his limbs and improvement in the hand grip strength bilaterally. There was no neurological worsening. At 1-year follow-up, there was a significant reduction in paraesthesiae and spasticity. His functional grade had improved to Nurick II and he had resumed work. The MRI spine showed no residual enhancing lesion or cyst. There was mild thinning of the cord at the operated site [Figure 4].

Bottom Line: Preoperative diagnosis of a cervical IS is not always possible.Complete tumor resection is the ideal treatment for IS.Intraoperative frozen section can be a useful for decision making though the tumor-cord plane will ultimately decide if the tumor can be radically excised.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

ABSTRACT
We present a case of a cervical intramedullary schwannoma (IS), which resembled a glioma on radiology. Somatic and root pain, the most common presenting complaints of IS, were lacking in our patient, and the characteristic magnetic resonance finding of an enhancing thickened nerve root in IS, was absent in our case. Preoperative diagnosis of a cervical IS is not always possible. Complete tumor resection is the ideal treatment for IS. Intraoperative frozen section can be a useful for decision making though the tumor-cord plane will ultimately decide if the tumor can be radically excised.

No MeSH data available.


Related in: MedlinePlus