Intradural extramedullary cystic schwannoma of the cervical spine

Intradural extramedullary cystic schwannoma of the cervical spine

Giant cervical intradural extramedullary schwannoma with severe spinal cord compression is a rare entity.Tumor spread and size are very important for surgical approach. In this case, we report a 55-years-old malepatient with a giant intradural-extramedullary cervical schwannoma extending between C5 and T1 and causingspinal cord compression that underwent total resection with laminoplasty at C5-6-7 levels. The patientdeveloped no additional deficit. To preserve the cervical lordosis, the patient used a cervical collar for threemonths. There has been no recurrence during two years of follow-up. Using the appropriate surgical methodis essential in patients with spinal tumor in order to avoid additional neurological deficits and achieve cure.

___

  • [1] Iacopino DG, Giugno A, Gulì C, Basile L, Graziano F, Maugeri R. Surgical nuances on the treatment of giant dumbbell cervical spine schwannomas: description of a challenging case and review of the literature. Spinal Cord Ser Cases 2016;2:15042.
  • [2] Mc.Cormick PC, Stein BM. Spinal Cord Tumors in Adults. In Youmans Julian R (Ed) Neurosurgical Surgery. 6th Edition. Volume 3, Ch 309. WB Saunders Company. 2011 (CD Edition).
  • [3] Quillo-Olvera J, Lin GX, Kim JS. Severe spinal cord compression by pure giant intradural schwannoma of cervical spine. World Neurosurg 2018;110:17-9.
  • [4] Pan E, Prados MD. Spinal cord tumors, in Kufe DW, Pollock RE, Weichselbaum RR, et al (eds): Holland-Frei Cancer Medicine, 6th ed. Hamilton, ON: BC Decker, 2003.
  • [5] Conti P, Pansini G, Mouchaty H, Capuano C, Conti R. Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 2004;61:34-43; discussion 44.
  • [6] De Verdelhan O, Haegelen C, Carsin-Nicol B, Riffaud L, Amlashi SF, Brassier G, et al. MR imaging features of spinal schwannomas and meningiomas. J Neuroradiol 2005;32:42-9.
  • [7] Gu BS, Park JH, Roh SW, Jeon SR, Jang JW, Hyun SJ, et al. Surgical strategies for removal of intra- and extraforaminal dumbbell-shaped schwannomas in the subaxial cervical spine. Eur Spine J 2015;24:2114-8.
  • [8] Kim SH, Doh JW, Yoon SM, Yun IG. Huge schwannoma extended from craniocervical junction to upper thoracic spine. J Korean Neurosurg Soc 2003;34:589-92.
  • [9] Wong AP, Lall RR, Dahdaleh NS, Lawton CD, Smith ZA, Wong RH, et al. Comparison of open and minimally invasive surgery for intradural-extramedullary spine tumors. Neurosurg Focus 2015;39:E11.