Paraplegia due to Thoracic Mobile Schwannoma after Myelography
Introduction. Spinal mobile tumors are very rare. We herein report a case of paraplegia caused by migration and incarceration of thoracic mobile schwannoma after myelography. Case Presentation. A 25-year-old man who had weakness and numbness in both his legs also had pain radiating to the back that...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/6709819 |
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| author | Akira Honda Yoichi Iizuka Tokue Mieda Hiroyuki Sonoda Sho Ishiwata Yohei Kakuta Daisuke Tsunoda Eiji Takasawa Tsuyoshi Tajika Hiromi Koshi Hirotaka Chikuda |
| author_facet | Akira Honda Yoichi Iizuka Tokue Mieda Hiroyuki Sonoda Sho Ishiwata Yohei Kakuta Daisuke Tsunoda Eiji Takasawa Tsuyoshi Tajika Hiromi Koshi Hirotaka Chikuda |
| author_sort | Akira Honda |
| collection | DOAJ |
| description | Introduction. Spinal mobile tumors are very rare. We herein report a case of paraplegia caused by migration and incarceration of thoracic mobile schwannoma after myelography. Case Presentation. A 25-year-old man who had weakness and numbness in both his legs also had pain radiating to the back that was induced by back flexion or extension and jumping. Magnetic resonance imaging (MRI) showed an intradural extramedullary lesion at the T10 and T11 levels. Myelography was performed but discontinued due to his back and lower limb pain. Computed tomography after myelography revealed a rostrally migrated intradural mass with a discrepancy in the exact location in comparison to the MRI findings. He underwent a second lumbar puncture and drained the cerebrospinal fluid (CSF) to aid the spinal cord, because the symptoms gradually worsened and led to paraplegia. After the drainage of the CSF, his symptoms were immediately resolved. The day after myelography, he underwent complete resection of the tumor with the diagnosis of schwannoma. One year after the surgery, he had been working despite having hyperreflexia in his lower limbs with no weakness or sensory disturbance. Conclusion. Severe neurological deficits associated with spinal cord damage can occur due to migration of mobile tumors. |
| format | Article |
| id | doaj-art-5b4386ef6b8040c3ac93a5fbc0a4e1cd |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5b4386ef6b8040c3ac93a5fbc0a4e1cd2025-02-03T00:58:48ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/67098196709819Paraplegia due to Thoracic Mobile Schwannoma after MyelographyAkira Honda0Yoichi Iizuka1Tokue Mieda2Hiroyuki Sonoda3Sho Ishiwata4Yohei Kakuta5Daisuke Tsunoda6Eiji Takasawa7Tsuyoshi Tajika8Hiromi Koshi9Hirotaka Chikuda10Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanClinical Department of Pathology, Gunma University Hospital, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, JapanIntroduction. Spinal mobile tumors are very rare. We herein report a case of paraplegia caused by migration and incarceration of thoracic mobile schwannoma after myelography. Case Presentation. A 25-year-old man who had weakness and numbness in both his legs also had pain radiating to the back that was induced by back flexion or extension and jumping. Magnetic resonance imaging (MRI) showed an intradural extramedullary lesion at the T10 and T11 levels. Myelography was performed but discontinued due to his back and lower limb pain. Computed tomography after myelography revealed a rostrally migrated intradural mass with a discrepancy in the exact location in comparison to the MRI findings. He underwent a second lumbar puncture and drained the cerebrospinal fluid (CSF) to aid the spinal cord, because the symptoms gradually worsened and led to paraplegia. After the drainage of the CSF, his symptoms were immediately resolved. The day after myelography, he underwent complete resection of the tumor with the diagnosis of schwannoma. One year after the surgery, he had been working despite having hyperreflexia in his lower limbs with no weakness or sensory disturbance. Conclusion. Severe neurological deficits associated with spinal cord damage can occur due to migration of mobile tumors.http://dx.doi.org/10.1155/2020/6709819 |
| spellingShingle | Akira Honda Yoichi Iizuka Tokue Mieda Hiroyuki Sonoda Sho Ishiwata Yohei Kakuta Daisuke Tsunoda Eiji Takasawa Tsuyoshi Tajika Hiromi Koshi Hirotaka Chikuda Paraplegia due to Thoracic Mobile Schwannoma after Myelography Case Reports in Orthopedics |
| title | Paraplegia due to Thoracic Mobile Schwannoma after Myelography |
| title_full | Paraplegia due to Thoracic Mobile Schwannoma after Myelography |
| title_fullStr | Paraplegia due to Thoracic Mobile Schwannoma after Myelography |
| title_full_unstemmed | Paraplegia due to Thoracic Mobile Schwannoma after Myelography |
| title_short | Paraplegia due to Thoracic Mobile Schwannoma after Myelography |
| title_sort | paraplegia due to thoracic mobile schwannoma after myelography |
| url | http://dx.doi.org/10.1155/2020/6709819 |
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