Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report
Aleksander Joniec, Jedrzej Mikolajczyk, Bartosz Godlewski Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Raphael Hospital, Cracow, PolandCorrespondence: Aleksander Joniec, Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Rapha...
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Dove Medical Press
2025-06-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/large-anterior-cervical-spine-schwannoma-causing-dysphagia-case-report-peer-reviewed-fulltext-article-IMCRJ |
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| author | Joniec A Mikolajczyk J Godlewski B |
| author_facet | Joniec A Mikolajczyk J Godlewski B |
| author_sort | Joniec A |
| collection | DOAJ |
| description | Aleksander Joniec, Jedrzej Mikolajczyk, Bartosz Godlewski Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Raphael Hospital, Cracow, PolandCorrespondence: Aleksander Joniec, Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Raphael Hospital, ul. Adama Bochenka 12, Cracow, 30-693, Poland, Email Aleksander.Joniec@gmail.comIntroduction: Schwannomas are rare benign tumours of Schwann cell origin that rarely undergo malignant transformation and are most often (25– 45%) found in the head and neck region. We present a case of a large schwannoma arising directly from the anterior aspect of the cervical spine (C6-C7-Th1) that caused considerable oesophageal displacement and compression, manifesting as dysphagia.Case Report: A 52-year-old male patient sought medical advice on account of intermittent dysphagia and a sense of pressure in the neck, in the absence of pain or neurological deficits. A magnetic resonance (MRI) scan and a subsequent open/surgical biopsy revealed a large schwannoma on the anterior aspect of the spine at C6-C7-Th1 causing compression of the oesophagus. Following a neurosurgical consultation, a radical gross resection of the tumour was carried out from an anterior approach, with no neurological complications. A histological examination of the tumour confirmed the initial diagnosis and a follow-up MRI scan demonstrated complete resection.Conclusion: This case of successful treatment of a large schwannoma at the C6-C7-Th1 level highlights the importance of both MR imaging and biopsy in pre-operative planning. An anterior approach, routinely employed in cervical spine surgery, made it possible to perform a radical resection without neurological complications or the need to stabilise the cervical spine, which expedited the patient’s return to full fitness.Keywords: schwannoma, dysphagia, cervical spine, anterior approach |
| format | Article |
| id | doaj-art-7daf6988c98845deb800d01f0916d327 |
| institution | Kabale University |
| issn | 1179-142X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj-art-7daf6988c98845deb800d01f0916d3272025-08-20T03:32:36ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2025-06-01Volume 18Issue 1735739104082Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case ReportJoniec A0Mikolajczyk J1Godlewski B2Department of Orthopaedics and Traumatology, with Spinal Surgery WardDepartment of Orthopaedics and Traumatology, with Spinal Surgery WardDepartment of Orthopaedics and Traumatology with Spinal Surgery WardAleksander Joniec, Jedrzej Mikolajczyk, Bartosz Godlewski Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Raphael Hospital, Cracow, PolandCorrespondence: Aleksander Joniec, Department of Orthopaedics and Traumatology, with Spinal Surgery Ward, Scanmed – St. Raphael Hospital, ul. Adama Bochenka 12, Cracow, 30-693, Poland, Email Aleksander.Joniec@gmail.comIntroduction: Schwannomas are rare benign tumours of Schwann cell origin that rarely undergo malignant transformation and are most often (25– 45%) found in the head and neck region. We present a case of a large schwannoma arising directly from the anterior aspect of the cervical spine (C6-C7-Th1) that caused considerable oesophageal displacement and compression, manifesting as dysphagia.Case Report: A 52-year-old male patient sought medical advice on account of intermittent dysphagia and a sense of pressure in the neck, in the absence of pain or neurological deficits. A magnetic resonance (MRI) scan and a subsequent open/surgical biopsy revealed a large schwannoma on the anterior aspect of the spine at C6-C7-Th1 causing compression of the oesophagus. Following a neurosurgical consultation, a radical gross resection of the tumour was carried out from an anterior approach, with no neurological complications. A histological examination of the tumour confirmed the initial diagnosis and a follow-up MRI scan demonstrated complete resection.Conclusion: This case of successful treatment of a large schwannoma at the C6-C7-Th1 level highlights the importance of both MR imaging and biopsy in pre-operative planning. An anterior approach, routinely employed in cervical spine surgery, made it possible to perform a radical resection without neurological complications or the need to stabilise the cervical spine, which expedited the patient’s return to full fitness.Keywords: schwannoma, dysphagia, cervical spine, anterior approachhttps://www.dovepress.com/large-anterior-cervical-spine-schwannoma-causing-dysphagia-case-report-peer-reviewed-fulltext-article-IMCRJSchwannomaDysphagiaCervical SpineAnterior Approach |
| spellingShingle | Joniec A Mikolajczyk J Godlewski B Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report International Medical Case Reports Journal Schwannoma Dysphagia Cervical Spine Anterior Approach |
| title | Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report |
| title_full | Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report |
| title_fullStr | Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report |
| title_full_unstemmed | Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report |
| title_short | Large Anterior Cervical Spine Schwannoma Causing Dysphagia: Case Report |
| title_sort | large anterior cervical spine schwannoma causing dysphagia case report |
| topic | Schwannoma Dysphagia Cervical Spine Anterior Approach |
| url | https://www.dovepress.com/large-anterior-cervical-spine-schwannoma-causing-dysphagia-case-report-peer-reviewed-fulltext-article-IMCRJ |
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