Avtor/Urednik		Bunc, Gorazd; Kramberger, Slavko; Kovačič, Srečko; Šeruga, Tomaž; Voršič, Matjaž
Naslov		Recurrent giant invasive thoracolumbar schwannoma
Tip		članek
Vir		Wien Klin Wochenschr
Vol. in št.		Letnik 116, št. Suppl 2
Leto izdaje		2004
Obseg		str. 93-6
Jezik		eng
Abstrakt		Giant invasive spinal schwannoma is a new term proposed by Sridhar in 2001 for a particularly aggressive type of benign spinal schwannoma. Only a few cases have been published, the majority of these located in the lumbosacral spine, two in the thoracic and only one in the cervical spine. A rare case of such a tumor is presented. The tumor predominantly occupied level Li and partially levels T12 and L2, and recurred 13 years after the first seemingly radical excision of a benign melanotic schwannoma. The highly vascularized tumor was radically excised using the dorsal approach, and a Sokon transpeduncular fixation was performed. Carter's lateral thoraco-abdominal access allowed the retroperitoneal and intravertebral expansions of the tumor to be removed and L1 corpectomy to be accomplished. Ventral vertebral stabilization was achieved with a titanium cage. After the operation, the pain in the patient's left leg subsided. Three years after the management, he is still pain-free, able to walk freely and to resume his usual daily activities.
Deskriptorji		NEURILEMMOMA LUMBOSACRAL REGION NEOPLASM RECURRENCE, LOCAL LAMINECTOMY MIDDLE AGE