Intratumoral hemorrhage of spinal schwannoma of the cauda equina manifesting as acute paraparesis--case report

Neurol Med Chir (Tokyo). 2009 Jun;49(6):255-7. doi: 10.2176/nmc.49.255.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Back Pain / etiology
  • Back Pain / physiopathology
  • Cauda Equina / blood supply
  • Cauda Equina / pathology
  • Cauda Equina / physiopathology
  • Decompression, Surgical
  • Diagnosis, Differential
  • Edema / etiology
  • Edema / physiopathology
  • Edema / surgery
  • Humans
  • Laminectomy
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Neurilemmoma / complications*
  • Neurilemmoma / diagnostic imaging
  • Neurilemmoma / pathology
  • Paraparesis / diagnostic imaging
  • Paraparesis / etiology*
  • Paraparesis / pathology
  • Peripheral Nervous System Neoplasms / complications*
  • Peripheral Nervous System Neoplasms / diagnostic imaging
  • Peripheral Nervous System Neoplasms / pathology
  • Polyradiculopathy / complications*
  • Polyradiculopathy / diagnostic imaging
  • Polyradiculopathy / pathology
  • Predictive Value of Tests
  • Radiography
  • Sensitivity and Specificity
  • Spinal Nerve Roots / blood supply
  • Spinal Nerve Roots / pathology
  • Spinal Nerve Roots / physiopathology
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / etiology*
  • Subarachnoid Hemorrhage / pathology
  • Treatment Outcome
  • Urinary Incontinence / etiology
  • Urinary Incontinence / physiopathology