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Management of migrating spinal schwannomas: a surgeon’s dilemma. Illustrative case – Lumbar Spinal Stenosis

The article discusses the rare occurrence of migrating spinal tumors and emphasizes the importance of efficient management to prevent extended laminectomies. The case of a patient with a migrating lumbar schwannoma is presented, along with a literature review of similar cases and the challenges faced during surgery. The authors provide management guidelines based on their experience, highlighting the need for preoperative counseling to reduce the risk of extensive laminectomy or durotomy and enhance patient care. PMID: 38163341 | DOI: 10.3171/CASE23689

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

BACKGROUND: A migrating spinal tumor is a rare phenomenon in the medical literature. Efficient management of these tumors is critical to avoid extended laminectomies.

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J Neurosurg Case Lessons. 2024 Jan 1;7(1):CASE23689. doi: 10.3171/CASE23689. Print 2024 Jan 1.ABSTRACTBACKGROUND: A migrating spinal tumor is a rare phenomenon in the medical literature. Efficient management of these tumors is critical to avoid extended laminectomies.OBSERVATIONS: In this article, the authors present the case of a patient with a migrating lumbar schwannoma. They summarize a,

J Neurosurg Case Lessons. 2024 Jan 1;7(1):CASE23689. doi: 10.3171/CASE23689. Print 2024 Jan 1.

ABSTRACT

BACKGROUND: A migrating spinal tumor is a rare phenomenon in the medical literature. Efficient management of these tumors is critical to avoid extended laminectomies.

OBSERVATIONS: In this article, the authors present the case of a patient with a migrating lumbar schwannoma. They summarize a literature review of similar cases, highlighting the intraoperative challenges faced, and provide management guidelines for similar cases from their experience.

LESSONS: Surgeons dealing with spinal intradural extramedullary lesions should always consider the possibility of tumor migration. Routine preoperative counseling regarding potential tumor migration and its efficient management is essential, as it reduces the risk of unplanned extensive laminectomy or durotomy, minimizing morbidity and medicolegal concerns and enhancing patient care.

PMID:38163341 | DOI:10.3171/CASE23689

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Management of migrating spinal schwannomas: a surgeon’s dilemma. Illustrative case

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J Neurosurg Case Lessons. 2024 Jan 1;7(1):CASE23689. doi: 10.3171/CASE23689. Print 2024 Jan 1.ABSTRACTBACKGROUND: A migrating spinal tumor is a rare phenomenon in the medical literature. Efficient management of these tumors is critical to avoid extended laminectomies.OBSERVATIONS: In this article, the authors present the case of a patient with a migrating lumbar schwannoma. They summarize a

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