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Concurrent spinal meningioma and giant invasive schwannoma without neurofibromatosis in children: A case report and literature review – Lumbar Fusion

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This article discusses a rare case of a 15-year-old child with concurrent spinal dorsal meningioma and ventral giant invasive schwannoma at different levels of the spine. These tumors are extremely rare and there have only been 15 reported cases to date. The patient underwent surgical resection, which was mostly successful. The article highlights the atypical clinical presentations and the need for surgical intervention as the first choice of treatment. The pathogenetic mechanism of these tumors remains unclear. The case presented in this article is the youngest patient diagnosed with concurrent intradural tumors at different spinal levels

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: The present case is the youngest patient diagnosed with concurrent intradural tumors at different spinal levels. The pathogenetic mechanism remains unclear. The clinical presentations are always atypical. Surgical resection of the tumors is the first choice. We use the non-fusion surgery to preserve the function of the lumbar spine.

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Childs Nerv Syst. 2024 Feb 13. doi: 10.1007/s00381-024-06300-3. Online ahead of print.ABSTRACTBACKGROUND: Spinal meningiomas coexisting with schwannomas in patients without neurofibromatosis are extremely rare lesions. There were only 15 cases reported to date, which were concurrent intradural tumors of different pathological types.CASE PRESENTATION: Herein, we present a rare case of a 15-year-old child with concurrent,

Childs Nerv Syst. 2024 Feb 13. doi: 10.1007/s00381-024-06300-3. Online ahead of print.

ABSTRACT

BACKGROUND: Spinal meningiomas coexisting with schwannomas in patients without neurofibromatosis are extremely rare lesions. There were only 15 cases reported to date, which were concurrent intradural tumors of different pathological types.

CASE PRESENTATION: Herein, we present a rare case of a 15-year-old child with concurrent spinal dorsal meningioma and ventral giant invasive schwannoma at C7-T3 and T10-S5 spinal levels. Preoperative magnetic resonance imaging and computed tomography indicated the schwannoma across the thoracic and lumbosacral transitional vertebra, with extensive bony erosion of the sacrum. The results of surgical resection were mostly satisfactory.

S: The present case is the youngest patient diagnosed with concurrent intradural tumors at different spinal levels. The pathogenetic mechanism remains unclear. The clinical presentations are always atypical. Surgical resection of the tumors is the first choice. We use the non-fusion surgery to preserve the function of the lumbar spine.

PMID:38349526 | DOI:10.1007/s00381-024-06300-3

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Concurrent spinal meningioma and giant invasive schwannoma without neurofibromatosis in children: A case report and literature review

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Childs Nerv Syst. 2024 Feb 13. doi: 10.1007/s00381-024-06300-3. Online ahead of print.ABSTRACTBACKGROUND: Spinal meningiomas coexisting with schwannomas in patients without neurofibromatosis are extremely rare lesions. There were only 15 cases reported to date, which were concurrent intradural tumors of different pathological types.CASE PRESENTATION: Herein, we present a rare case of a 15-year-old child with concurrent

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