Giant invasive intradural extramedullary lumbar schwannoma: A case report and literature review

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  • dc.contributor.author Vanegas Cerna, Geovanny
  • dc.contributor.author Barrientos Castillo, Rossi E.
  • dc.contributor.author Nurmukhametov, Renat
  • dc.contributor.author Baldoncini, Matias
  • dc.contributor.author López Lara, Carlos Ernesto
  • dc.contributor.author Rosario, Andreina
  • dc.contributor.author Ogando, Yamaurys E.
  • dc.contributor.author Ramirez, Karina M.
  • dc.contributor.author Lafuente Baraza, Jesus
  • dc.contributor.author Chmutin, Gennady E.
  • dc.contributor.author Montemurro, Nicola
  • dc.contributor.author Encarnacion Ramirez, Manuel de Jesus
  • dc.date.accessioned 2024-05-03T05:53:56Z
  • dc.date.available 2024-05-03T05:53:56Z
  • dc.date.issued 2023
  • dc.description.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.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Vanegas Cerna G, Barrientos Castillo RE, Nurmukhametov R, Baldoncini M, López Lara CE, Rosario A, et al. Giant invasive intradural extramedullary lumbar schwannoma: A case report and literature review. Cureus. 2023 Jun 20;15(6):e40708. DOI: 10.7759/cureus.40708
  • dc.identifier.doi http://dx.doi.org/10.7759/cureus.40708
  • dc.identifier.issn 2168-8184
  • dc.identifier.uri http://hdl.handle.net/10230/59981
  • dc.language.iso eng
  • dc.publisher Springer
  • dc.relation.ispartof Cureus. 2023 Jun 20;15(6):e40708
  • dc.rights © Copyright 2023 Vanegas Cerna et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Lumbar fusion
  • dc.subject.keyword Lumbar schwannomas
  • dc.subject.keyword Radiculopathy
  • dc.subject.keyword Spinal surgery
  • dc.subject.keyword Spinal tumor
  • dc.title Giant invasive intradural extramedullary lumbar schwannoma: A case report and literature review
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion