Turkish Neurosurgery 2014 , Vol 24 , Num 6
Lumbar Intraosseous Schwannoma: Case Report and Review of the Literature
Deyong SONG1, Zhong CHEN2, Dewei SONG3, Zaixue LI4
1Foshan Hospital of Traditional Chinese Medicine, Department of Spinal Surgery, Foshan City, China
2Zhujiang Hospital of Southern Medical University, Department of Spinal Surgery, Guangzhou City, China
3Mengyin County Hospital, Department of Minimally Invasive Pain Treatment, Linyi City, China
4Shilong Affiliated Hospital of Southern Medical University, Department of Spinal Surgery, Dongguan City, China
DOI : 10.5137/1019-5149.JTN.10054-13.0 Intraosseous schwannomas of the mobile spine are extremely rare. To our knowledge, only 21 cases have been reported in the literature. In this report, we present a case of schwannoma involving the lumbar spine, with a review of the literature and discussion of this rare tumor. A 44-yearold male presented with a 3-year history of intermittent low back pain, with radiation into the right lower extremity during the last 2 years. Radiographs revealed an approximately 4×4 cm irregular mass with marginal sclerosis located at the L5 vertebra, involving the right pedicle and extruding into the spinal canal. The tumor was resected completely and was confirmed as schwannoma by histological examination. At follow-up after 12 months, the patient was free of pain and with no recurrence. Despite its low incidence, intraosseous schwannomas should be considered as the differential diagnosis of an extradural mass involving the vertebrae. Surgery is the preferred treatment method and usually carries a good prognosis. Keywords : Intraosseous schwannoma, Lumbar vertebra, Surgery
Corresponding author : Deyong Song, songdeyongss@126.com