Clinical Study
Diagnosis and treatment of internal and external growth of thoracolumbar intraspinal Schwannomas
Wang Qinghe, Yang Dazhi, Li Ziyi, Liu Junliang, Zhen Wanxin, Guo Yuxia
Published 2014-02-26
Cite as Chin J Diagnostics(Electronic Edition), 2014,2(1): 43-48. DOI: 10.3877/cma.j.issn.2095-655X.2014.01.008
Abstract
ObjectiveTo investigate the specific clinical manifestations, surgery treatment of internal and external growth of thoracolumbar intraspinal schwannomas and provide evidences for early diagnosis and treatment.
MethodsFrom March 2011 to July 2013, medical records of seven patients with spinal schwannoma were retrospectively reviewed, which were first diagnosed with non-spinal diseases.
ResultsAmong seven patients, two patients admitted to urology for the first time, one patient in department of hepatobiliary surgery, two cases in department of gynecology, one patient in department of pain, one case in department of physiotherapy.Patients got the right diagnosis after proper consultation and further examination.Among seven patients, five patients with different degree of spinal canal nerve compression symptoms including leg pain, numbness, weakness while two cases with no obvious symptoms.It may be neurogenic tumors by CT and MRI examination.Schwannoma were confirmed by postoperative pathological examination.In the following 1.3 years, basic symptoms disappeared, it didn′t appear recurnence and new symptoms.
ConclusionsParts of the internal and external growth of thoracolumbar intraspinal schwannomas have their specific clinical manifestations: abdominal mass oppression for initial symptoms, while spinal nerve compression symptoms appear later.Thinking of the possibility of the disease and relevant examination are the keys to the appropriate diagnosis and treatment.Combined extracapsular resection inside and outside the spinal canal is an effective way for internal and external growth of thoracolumbar intraspinal schwannomas.
Key words:
Neurilemmoma; Diagnosis; Treatment
Contributor Information
Wang Qinghe
Department of Spinal Surgery, the 2nd Clinical Medical College of Jinan University, ShenZhen People′s Hospital, ShenZhen 518020, China
Yang Dazhi
Li Ziyi
Liu Junliang
Zhen Wanxin
Guo Yuxia