Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia
Hemorrhagic schwannoma in the medulla spinalis is a rare occurrence. It is a variant of the slow-growing nerve sheath tumor that usually has subtle clinical symptoms. Injury to the spinal schwannoma that was previously suspected by spinal manipulations may accelerate the progression of symptoms and...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/7190739 |
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| author | Ahmad Jabir Rahyussalim Rizky Priambodo Wisnubaroto Tri Kurniawati Alfariq Senja Belantara Latsarizul Nuryati Chairani |
| author_facet | Ahmad Jabir Rahyussalim Rizky Priambodo Wisnubaroto Tri Kurniawati Alfariq Senja Belantara Latsarizul Nuryati Chairani |
| author_sort | Ahmad Jabir Rahyussalim |
| collection | DOAJ |
| description | Hemorrhagic schwannoma in the medulla spinalis is a rare occurrence. It is a variant of the slow-growing nerve sheath tumor that usually has subtle clinical symptoms. Injury to the spinal schwannoma that was previously suspected by spinal manipulations may accelerate the progression of symptoms and cause an acute presentation of paraplegia. We report a case of a patient that was suspected of an intradural tumor with paraparesis that initially refused treatment. Spinal manipulation procedures were performed outside of the hospital setting with subsequent advancement of paraparesis. A surgical intervention was performed, which found that the tumor mass has grown along with hemorrhage within the schwannoma. The bleeding within the mass may have caused the acute paraplegia that is rarely reported. The patient had a fair improvement on her lower motor extremity function from 1‐2 to 3‐4 out of 5 at six‐month follow-up. |
| format | Article |
| id | doaj-art-6027e30c392a4746a959a18789a3439a |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-6027e30c392a4746a959a18789a3439a2025-02-03T01:12:39ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/71907397190739Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total ParaplegiaAhmad Jabir Rahyussalim0Rizky Priambodo Wisnubaroto1Tri Kurniawati2Alfariq Senja Belantara Latsarizul3Nuryati Chairani4Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaStem Cell Integrated Medical Service Unit Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Stem Cell and Tissue Engineering Research Center, IMERI Universitas, Jakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, IndonesiaHemorrhagic schwannoma in the medulla spinalis is a rare occurrence. It is a variant of the slow-growing nerve sheath tumor that usually has subtle clinical symptoms. Injury to the spinal schwannoma that was previously suspected by spinal manipulations may accelerate the progression of symptoms and cause an acute presentation of paraplegia. We report a case of a patient that was suspected of an intradural tumor with paraparesis that initially refused treatment. Spinal manipulation procedures were performed outside of the hospital setting with subsequent advancement of paraparesis. A surgical intervention was performed, which found that the tumor mass has grown along with hemorrhage within the schwannoma. The bleeding within the mass may have caused the acute paraplegia that is rarely reported. The patient had a fair improvement on her lower motor extremity function from 1‐2 to 3‐4 out of 5 at six‐month follow-up.http://dx.doi.org/10.1155/2019/7190739 |
| spellingShingle | Ahmad Jabir Rahyussalim Rizky Priambodo Wisnubaroto Tri Kurniawati Alfariq Senja Belantara Latsarizul Nuryati Chairani Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia Case Reports in Medicine |
| title | Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia |
| title_full | Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia |
| title_fullStr | Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia |
| title_full_unstemmed | Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia |
| title_short | Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia |
| title_sort | hemorrhagic spinal schwannoma in thoracolumbar area with total paraplegia |
| url | http://dx.doi.org/10.1155/2019/7190739 |
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