成功切除硬脊膜内髓外T1 - T4节段的丛状神经鞘瘤。
Successful excision of intradural extramedullary plexiform T1-T4 schwannoma.
作者信息
Nazwar Tommy Alfandy, Bal Afif Farhad, Wardhana Donny Wisnu, Panjaitan Christin
机构信息
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, East Java, Indonesia.
出版信息
Surg Neurol Int. 2024 Sep 6;15:321. doi: 10.25259/SNI_617_2024. eCollection 2024.
BACKGROUND
Plexiform schwannomas (PSs) are rare. Here, we describe the clinical features, diagnosis, treatment, and outcome of a 17-year-old male presenting with a T1-T4 intradural extramedullary (IDEM).
CASE DESCRIPTION
A 17-year-old male presented with back pain and pain radiating down both legs. The thoracic magnetic resonance revealed a left-sided T1-T4 IDEM mass. The patient underwent a T2-T4 laminectomy for gross total tumor excision, followed by posterior fusion. Immunohistochemical examination revealed S100 positivity, supporting the diagnosis of PS.
CONCLUSION
IDEM PSs are rare, may be readily diagnosed with MR, and can be successfully resected.
背景
丛状神经鞘瘤（PSs）较为罕见。在此，我们描述一名17岁男性出现T1 - T4节段硬膜内髓外（IDEM）病变的临床特征、诊断、治疗及预后情况。
病例描述
一名17岁男性出现背痛及双下肢放射性疼痛。胸椎磁共振成像显示左侧T1 - T4节段硬膜内髓外肿块。患者接受了T2 - T4椎板切除术以实现肿瘤全切，随后进行了后路融合术。免疫组化检查显示S100阳性，支持PS的诊断。
结论
硬膜内髓外丛状神经鞘瘤罕见，磁共振成像可轻易诊断，且能成功切除。
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