Oslin Spencer J, Villeneuve Lance M, Shi Helen H, Muhammad Fauziyya Y, Reinersman J Matthew, Smith Zachary A
Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.
Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.
J Neurol Surg Rep. 2024 Dec 26;85(4):e187-e189. doi: 10.1055/a-2482-9271. eCollection 2024 Oct.
Spinal schwannomas are benign, slow-growing tumors originating from Schwann cells, constituting 25 to 30% of primary spinal neoplasms and most frequently arise from sensory nerve roots in the cervical or thoracic spine. 1 2 3 Although generally nonaggressive, their growth can result in significant neurological deficits due to compression of surrounding structures such as the spinal cord or nerve roots. 4 5 Patients commonly present with localized pain, muscle weakness, and sensory disturbances. 5 6 Imaging techniques such as MRI or CT assist in identifying these tumors, and surgical resection is recommended when they cause progressive symptoms or neurological decline. 7 8 Recent advances in surgical techniques have improved the precision of schwannoma resections, reducing intraoperative complications, facilitating patient recovery, and improving overall patient outcomes. 9.
脊髓神经鞘瘤是起源于施万细胞的良性、生长缓慢的肿瘤,占原发性脊髓肿瘤的25%至30%,最常发生于颈段或胸段脊髓的感觉神经根。虽然通常不具侵袭性,但由于其生长可压迫脊髓或神经根等周围结构,从而导致严重的神经功能缺损。患者通常表现为局部疼痛、肌肉无力和感觉障碍。MRI或CT等成像技术有助于识别这些肿瘤,当它们引起进行性症状或神经功能衰退时,建议进行手术切除。手术技术的最新进展提高了神经鞘瘤切除术的精确度,减少了术中并发症,促进了患者康复,并改善了患者的总体预后。