Hyseni Fjolla, Harizi Edlira, Blanco Rubén, Bido Robert, Pichardo Jessie, Rahman Masum, Tahir Muhammad, Guy Ali, Fathma Sawsan, Shemsi Kledisa, Bhatti Atiq Ur Rehman, Nasir Fareeha, Decka Arlind, Ikram Samar, Kola Erisa, Musa Juna
Medical Reseaercher, NYU Langone Health, New York, NY, USA.
Department of Neurology, Regional Hospital Durres, Albania.
Radiol Case Rep. 2022 Feb 8;17(4):1251-1255. doi: 10.1016/j.radcr.2022.01.006. eCollection 2022 Apr.
Lumbar radiculopathy is a clinical condition defined by symptoms of pain, weakness, numbness, or tingling due to lumbar nerve root compression in levels L1-L4. Typically, it is characterized by a narrowing near the nerve root possibly caused by stenosis, bone osteophytes, disc herniation, and similar conditions. Reports of lumbar radiculopathy brought about by the presence of a radicular schwannoma are exceedingly rare. In this paper, we discuss the case of a 67-year-old female patient, presenting with complaints of low back pain, numbness, and antalgic gait for the past eight months. Her physical examination revealed motor and sensor neurological deficits affecting the left lower limb. The electromyoneurography evaluation showed neurogenic atrophy of the left radicular area, while the MRI revealed the presence of a giant, radicular schwannoma at L4-L5 level. This case report aims to underscore the clinical course and management of lumbar radiculopathy caused by a rare L4-L5 radicular schwannoma. Our patient had no significant risk factors or previous spinal pathology.
腰椎神经根病是一种临床病症，其定义为由于L1 - L4节段的腰神经根受压而出现疼痛、无力、麻木或刺痛等症状。通常，其特征是神经根附近变窄，可能由狭窄、骨质增生、椎间盘突出及类似情况引起。由神经根性神经鞘瘤导致腰椎神经根病的报告极为罕见。在本文中，我们讨论了一例67岁女性患者的病例，该患者在过去八个月中出现下背部疼痛、麻木和痛性步态的症状。她的体格检查发现运动和感觉神经功能缺损影响左下肢。肌电图评估显示左神经根区域神经源性萎缩，而磁共振成像显示在L4 - L5节段存在一个巨大的神经根性神经鞘瘤。本病例报告旨在强调由罕见的L4 - L5神经根性神经鞘瘤引起的腰椎神经根病的临床病程及治疗。我们的患者没有显著的风险因素或既往脊柱病变。
