Intramedullary Schwannoma of Cervical Spinal Cord Presenting Inconspicuous Enhancement with Gadolinium
Intramedullary schwannomas of the spinal cord are extremely rare. Most previous studies are case reports, which have found that intramedullary schwannomas could be homogeneous or asymmetrically enhanced with gadolinium. However, intramedullary schwannomas with minimal enhancement have not been repor...
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| Veröffentlicht in: | World neurosurgery 2019-07, Vol.127, p.418-422 |
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| creator | Dai, Li Ming Qiu, Yong Cen, Bo Lv, Jing |
| description | Intramedullary schwannomas of the spinal cord are extremely rare. Most previous studies are case reports, which have found that intramedullary schwannomas could be homogeneous or asymmetrically enhanced with gadolinium. However, intramedullary schwannomas with minimal enhancement have not been reported.
This article describes a 34-year-old patient who presented with nonradiative neck pain, progressive weakness of the left limbs, and sensory deficit of both lower extremities. Preoperative examinations such as magnetic resonance imaging (MRI) were performed, and the patient underwent surgical treatment. MRI showed that the lesion presented unsharp enhancement with gadolinium on T1-weighted images. Histopathologic findings were consistent with the diagnosis of schwannoma.
We report a case of intramedullary schwannoma that presented inconspicuous enhancement with gadolinium. MRI is useful but cannot be used to differentiate schwannomas from other intramedullary spinal tumours. Surgical resection is the most vital factor for the treatment of intramedullary schwannoma. |
| doi_str_mv | 10.1016/j.wneu.2019.04.118 |
| format | Article |
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This article describes a 34-year-old patient who presented with nonradiative neck pain, progressive weakness of the left limbs, and sensory deficit of both lower extremities. Preoperative examinations such as magnetic resonance imaging (MRI) were performed, and the patient underwent surgical treatment. MRI showed that the lesion presented unsharp enhancement with gadolinium on T1-weighted images. Histopathologic findings were consistent with the diagnosis of schwannoma.
We report a case of intramedullary schwannoma that presented inconspicuous enhancement with gadolinium. MRI is useful but cannot be used to differentiate schwannomas from other intramedullary spinal tumours. Surgical resection is the most vital factor for the treatment of intramedullary schwannoma.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.04.118</identifier><identifier>PMID: 31028978</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Cervical Cord - diagnostic imaging ; Cervical Cord - surgery ; Gadolinium ; Humans ; Intramedullary schwannomas ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Neurilemmoma - diagnostic imaging ; Neurilemmoma - surgery ; Spinal cord ; Spinal Cord Neoplasms - diagnostic imaging ; Spinal Cord Neoplasms - surgery ; Surgical resection</subject><ispartof>World neurosurgery, 2019-07, Vol.127, p.418-422</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-cea5ab94fefd1a14dde84df446625c4dada3b6a50ccd000aeda915c6d97457083</citedby><cites>FETCH-LOGICAL-c356t-cea5ab94fefd1a14dde84df446625c4dada3b6a50ccd000aeda915c6d97457083</cites><orcidid>0000-0002-9656-9984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2019.04.118$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31028978$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dai, Li Ming</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><creatorcontrib>Cen, Bo</creatorcontrib><creatorcontrib>Lv, Jing</creatorcontrib><title>Intramedullary Schwannoma of Cervical Spinal Cord Presenting Inconspicuous Enhancement with Gadolinium</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Intramedullary schwannomas of the spinal cord are extremely rare. Most previous studies are case reports, which have found that intramedullary schwannomas could be homogeneous or asymmetrically enhanced with gadolinium. However, intramedullary schwannomas with minimal enhancement have not been reported.
This article describes a 34-year-old patient who presented with nonradiative neck pain, progressive weakness of the left limbs, and sensory deficit of both lower extremities. Preoperative examinations such as magnetic resonance imaging (MRI) were performed, and the patient underwent surgical treatment. MRI showed that the lesion presented unsharp enhancement with gadolinium on T1-weighted images. Histopathologic findings were consistent with the diagnosis of schwannoma.
We report a case of intramedullary schwannoma that presented inconspicuous enhancement with gadolinium. MRI is useful but cannot be used to differentiate schwannomas from other intramedullary spinal tumours. Surgical resection is the most vital factor for the treatment of intramedullary schwannoma.</description><subject>Adult</subject><subject>Cervical Cord - diagnostic imaging</subject><subject>Cervical Cord - surgery</subject><subject>Gadolinium</subject><subject>Humans</subject><subject>Intramedullary schwannomas</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Neurilemmoma - diagnostic imaging</subject><subject>Neurilemmoma - surgery</subject><subject>Spinal cord</subject><subject>Spinal Cord Neoplasms - diagnostic imaging</subject><subject>Spinal Cord Neoplasms - surgery</subject><subject>Surgical resection</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFLAzEQhYMoVqp_wIPk6KVrspvNZsGLlFoLgoJ6Dmkya1N2k5rstvjvTWn16FxmYN485n0IXVOSUUL53TrbORiynNA6IyyjVJygCyoqMREVr0__5pKM0FWMa5KqoExUxTkaFZTkoq7EBWoWrg-qAzO0rQrf-E2vdso53ynsGzyFsLVatfhtY11qUx8Mfg0QwfXWfeKF097FjdWDHyKeuZVyGrq0xDvbr_BcGd9aZ4fuEp01qo1wdexj9PE4e58-TZ5f5ovpw_NEFyXvJxpUqZY1a6AxVFFmDAhmGsY4z0vNjDKqWHJVEq1NyqPAqJqWmpu6YmVFRDFGtwffTfBfA8RedjZqSNkcpBdlnlOe14zlPEnzg1QHH2OARm6C7RIDSYncI5ZruUcs94glYTIhTkc3R_9hmaD9nfwCTYL7gwBSyq2FIKO2kKgYG0D30nj7n_8P-GSP4g</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Dai, Li Ming</creator><creator>Qiu, Yong</creator><creator>Cen, Bo</creator><creator>Lv, Jing</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9656-9984</orcidid></search><sort><creationdate>201907</creationdate><title>Intramedullary Schwannoma of Cervical Spinal Cord Presenting Inconspicuous Enhancement with Gadolinium</title><author>Dai, Li Ming ; Qiu, Yong ; Cen, Bo ; Lv, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-cea5ab94fefd1a14dde84df446625c4dada3b6a50ccd000aeda915c6d97457083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Cervical Cord - diagnostic imaging</topic><topic>Cervical Cord - surgery</topic><topic>Gadolinium</topic><topic>Humans</topic><topic>Intramedullary schwannomas</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Neurilemmoma - diagnostic imaging</topic><topic>Neurilemmoma - surgery</topic><topic>Spinal cord</topic><topic>Spinal Cord Neoplasms - diagnostic imaging</topic><topic>Spinal Cord Neoplasms - surgery</topic><topic>Surgical resection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dai, Li Ming</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><creatorcontrib>Cen, Bo</creatorcontrib><creatorcontrib>Lv, Jing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dai, Li Ming</au><au>Qiu, Yong</au><au>Cen, Bo</au><au>Lv, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intramedullary Schwannoma of Cervical Spinal Cord Presenting Inconspicuous Enhancement with Gadolinium</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2019-07</date><risdate>2019</risdate><volume>127</volume><spage>418</spage><epage>422</epage><pages>418-422</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Intramedullary schwannomas of the spinal cord are extremely rare. Most previous studies are case reports, which have found that intramedullary schwannomas could be homogeneous or asymmetrically enhanced with gadolinium. However, intramedullary schwannomas with minimal enhancement have not been reported.
This article describes a 34-year-old patient who presented with nonradiative neck pain, progressive weakness of the left limbs, and sensory deficit of both lower extremities. Preoperative examinations such as magnetic resonance imaging (MRI) were performed, and the patient underwent surgical treatment. MRI showed that the lesion presented unsharp enhancement with gadolinium on T1-weighted images. Histopathologic findings were consistent with the diagnosis of schwannoma.
We report a case of intramedullary schwannoma that presented inconspicuous enhancement with gadolinium. MRI is useful but cannot be used to differentiate schwannomas from other intramedullary spinal tumours. Surgical resection is the most vital factor for the treatment of intramedullary schwannoma.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31028978</pmid><doi>10.1016/j.wneu.2019.04.118</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9656-9984</orcidid></addata></record> |
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| subjects | Adult Cervical Cord - diagnostic imaging Cervical Cord - surgery Gadolinium Humans Intramedullary schwannomas Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Neurilemmoma - diagnostic imaging Neurilemmoma - surgery Spinal cord Spinal Cord Neoplasms - diagnostic imaging Spinal Cord Neoplasms - surgery Surgical resection |
| title | Intramedullary Schwannoma of Cervical Spinal Cord Presenting Inconspicuous Enhancement with Gadolinium |
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