Author/Editor | Bunc, Gorazd; Kramberger, Slavko; Kovačič, Srečko; Šeruga, Tomaž; Voršič, Matjaž | |
Title | Recurrent giant invasive thoracolumbar schwannoma | |
Type | članek | |
Source | Wien Klin Wochenschr | |
Vol. and No. | Letnik 116, št. Suppl 2 | |
Publication year | 2004 | |
Volume | str. 93-6 | |
Language | eng | |
Abstract | 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. | |
Descriptors | NEURILEMMOMA LUMBOSACRAL REGION NEOPLASM RECURRENCE, LOCAL LAMINECTOMY MIDDLE AGE |