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Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review – Lumbar Spinal Stenosis

This article discusses a case of a giant invasive intradural extramedullary schwannoma, a benign nerve sheath tumor, in the lumbar region of the spine. The patient, a 58-year-old man, presented with lower back pain radiating to the right leg and underwent posterior lumbar interbody fusion (PLIF) and laminectomy for tumor resection. The surgery yielded excellent results, with the patient experiencing a resolution of symptoms and favorable postoperative recovery. The article emphasizes the rarity of lumbar schwannomas and the importance of appropriate diagnosis and management. Microsurgery, particularly endoscopic microsurgery, is highlighted as the preferred treatment approach

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established day surgery hospital in 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…

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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 established day surgery hospital in UK

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Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review

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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

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