马尾神经鞘瘤切除术后并发 schwannoma 和硬脊膜内神经瘤。病例报告和首次描述。
Concurrent schwannoma and intradural neuroma after resection of a cauda equina schwannoma. A case report and first description.
机构信息
Department of Neurosurgery, Goethe University, Frankfurt am Main, Germany.
出版信息
Acta Neurochir (Wien). 2010 Jun;152(6):1061-3; discussion 1063. doi: 10.1007/s00701-009-0534-8. Epub 2009 Oct 16.
PURPOSE
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.
METHODS
Magnetic resonance imaging showed two lesions at the site of the previous operation. Assuming tumour recurrence, the patient was referred for surgery.
RESULTS
Intraoperatively, both an intradural neuroma and a schwannoma were found. Histopathological assessment confirmed the diagnosis of both coexisting entities.
CONCLUSIONS
Neuroma should be considered in the differential diagnosis of spinal lesions, particularly in the assumption of recurrence.
目的
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。
方法
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。
结果
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。
结论
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。
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