Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu 610041, Sichuan, China.
J Clin Neurosci. 2012 May;19(5):767-9. doi: 10.1016/j.jocn.2011.06.035. Epub 2012 Feb 9.
Intraspinal schwannoma is a rare neoplasm in pediatric patients; cellular schwannoma is an unusual histological subtype of schwannoma. A six-month-old infant with an epidural dumbbell cellular schwannoma presented with progressive weakness of his arms and legs. A spinal MRI revealed an epidural mass from C5 to T4, and a complete surgical resection was achieved after laminotomy and facetectomy. The patient experienced a gradual neurological improvement and was still healthy without recurrence at the latest follow-up. The diagnosis of cellular schwannoma was confirmed on immunohistological examination.
椎管内神经鞘瘤在儿科患者中较为罕见;细胞性神经鞘瘤是神经鞘瘤的一种不常见的组织学亚型。一名六个月大的婴儿患有硬膜外哑铃状细胞性神经鞘瘤,表现为四肢进行性无力。脊髓 MRI 显示 C5 至 T4 硬膜外肿块,经椎板切除术和关节突切除术实现了完全手术切除。患者的神经功能逐渐改善,在最新随访时仍健康无复发。免疫组织化学检查证实了细胞性神经鞘瘤的诊断。