Department of Neurosurgery, Goethe University, Frankfurt am Main, Germany.
Acta Neurochir (Wien). 2010 Jun;152(6):1061-3; discussion 1063. doi: 10.1007/s00701-009-0534-8. Epub 2009 Oct 16.
We present the case of a 33-year-old female complaining of recurrent pain and sensory disturbance in both legs, 3 years after the removal of a schwannoma at the level of L2/3.
Magnetic resonance imaging showed two lesions at the site of the previous operation. Assuming tumour recurrence, the patient was referred for surgery.
Intraoperatively, both an intradural neuroma and a schwannoma were found. Histopathological assessment confirmed the diagnosis of both coexisting entities.
Neuroma should be considered in the differential diagnosis of spinal lesions, particularly in the assumption of recurrence.
我们报告了一例 33 岁女性病例，她在 L2/3 水平切除神经鞘瘤 3 年后，反复出现双腿疼痛和感觉障碍。
磁共振成像显示在先前手术部位有两个病变。考虑到肿瘤复发，患者被转介进行手术。
术中发现一个硬脊膜内神经瘤和一个神经鞘瘤。组织病理学评估证实了这两种共存实体的诊断。
在诊断脊髓病变时，应考虑到神经瘤，特别是在假设复发的情况下。
