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An unusual case of paraspinal schwannoma causing undiagnosed low back pain

Cilt: 42 Sayı: 1 20 Mayıs 2020
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An unusual case of paraspinal schwannoma causing undiagnosed low back pain

Abstract

Paraspinal schwannomas are relatively common but hardly classified subject of spinal neurosurgery. We present a rare and unclassified case of paravertebral schwannoma that causes non-discogenic low back pain. A 45-year-old Caucasian female came to our clinic with low back pain. Her pain steadily worsened for two years. Her physical exam showed right straight leg raise positivity at 45-degree angle but provocation test negative. Magnetic resonance imaging showed a mass in the paravertebral muscle originating right lumbar 3-4 facet joint. According to planned surgery patient operated. Histopathological diagnosis confirmed as schwannoma. The patient followed for 2 years without pain and neurologic deficiency. Follow up magnetic resonance imaging showed no residue or recurrence of the mass. Schwannomas must be taken into account for differential diagnosis of unexplained non-discogenic low back pain. New classification systems must be offered based on widespread patient groups. 

Keywords

Kaynakça

  1. 1. Khoshyomn, S., et al., Torsion of a lumbar nerve root schwannoma. Pediatr Neurosurg. 37(4): p. 206-9, 2002.
  2. 2. Beaman, F.D., M.J. Kransdorf, and D.M. Menke, Schwannoma: radiologic-pathologic correlation. Radiographics. 24(5): p. 1477-81, 2004.
  3. 3. Lahat, E., A.S. Rothman, and A.M. Aron, Schwannoma presenting as lumbar disc disease in an adolescent boy. Ann Neurol. 20(5): p. 643-4, 1986.
  4. 4. Lu, D.C., S.S. Dhall, and P.V. Mummaneni, Mini-open removal of extradural foraminal tumors of the lumbar spine. J Neurosurg Spine. 10(1): p. 46-50, 2009.
  5. 5. Russell, S.M., Preserve the nerve: microsurgical resection of peripheral nerve sheath tumors. Neurosurgery. 61(3 Suppl): p. 113-7; discussion 117-8, 2007.
  6. 6. Rustagi, T., S. Badve, and A.N. Parekh, Sciatica from a foraminal lumbar root schwannoma: case report and review of literature. Case Rep Orthop. 2012: p. 142143, 2012.
  7. 7. Park, S.C., et al., Spinal intraosseous schwannoma : a case report and review. J Korean Neurosurg Soc. 46(4): p. 403-8, 2009.
  8. 8. Sridhar, K., et al., Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg. 94(2 Suppl): p. 210-5, 2001.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

20 Mayıs 2020

Gönderilme Tarihi

12 Mayıs 2020

Kabul Tarihi

20 Mayıs 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 42 Sayı: 1

DOI

https://doi.org/10.7197/cmj.vi.736344

IZ

https://izlik.org/JA67UT46GB

Kaynak Göster

RIS / Bibtex
AMA
1.Kaya İ. An unusual case of paraspinal schwannoma causing undiagnosed low back pain. CMJ. 2020;42(1):122-125. doi:10.7197/cmj.vi.736344