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This article discusses the case of a 58-year-old man who presented with lower back pain radiating to his right leg for six months. The patient was diagnosed with a lumbar schwannoma, a slow-growing benign nerve sheath tumor, which was causing compression of the right nerve root. The tumor was successfully managed using posterior lumbar interbody fusion (PLIF) and laminectomy. The patient experienced a favorable postoperative recovery and resolution of symptoms. The article emphasizes the rarity of lumbar schwannomas and highlights the importance of appropriate diagnosis and management. It also suggests that microsurgery, particularly endoscopic microsurgery, is the preferred treatment option
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spine centre on Harley Street UK
Published article
Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of giant invasive intradural extramedullary schwannoma managed with posterior lumbar interbody fusion (PLIF) and laminectomy with excellent results. A 58-year-old man presented with lower back pain radiating…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Cureus. 2023 Jun 20;15(6):e40708. doi: 10.7759/cureus.40708. eCollection 2023 Jun.ABSTRACTSchwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of,
Cureus. 2023 Jun 20;15(6):e40708. doi: 10.7759/cureus.40708. eCollection 2023 Jun.
ABSTRACT
Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including the lumbar region of the spine. We present a case of giant invasive intradural extramedullary schwannoma managed with posterior lumbar interbody fusion (PLIF) and laminectomy with excellent results. A 58-year-old man presented with lower back pain radiating to the right leg for six months. He had no history of trauma or systemic disease. Lumbosacral magnetic resonance imaging (MRI) showed a well-defined mass at the L3-L4 level compressing the right nerve root. The patient was managed with L3-L4-L5 transpedicular fixation and right-side laminectomy L3-L4 for resection of the tumor. Histopathological examination confirmed the diagnosis of schwannoma. The patient had a favorable postoperative recovery and experienced a resolution of symptoms. Lumbar schwannomas are rare they can cause significant symptoms and require appropriate diagnosis and management. Microsurgery is the preferred treatment, and endoscopic microsurgery is the most promising technique.
PMID:37485228 | PMC:PMC10359865 | DOI:10.7759/cureus.40708
The London Spine Unit : most experienced spine centre on Harley Street UK
Read the original publication:
Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review
