TY - JOUR
T1 - Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia
AU - Rahyussalim, null
AU - Wisnubaroto, Rizky Priambodo
AU - Kurniawati, Tri
AU - Latsarizul, Alfariq Senja Belantara
AU - Chairani, Nuryati
N1 - Publisher Copyright:
© 2019 Ahmad Jabir Rahyussalim et al.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85060174025&partnerID=8YFLogxK
U2 - 10.1155/2019/7190739
DO - 10.1155/2019/7190739
M3 - Article
AN - SCOPUS:85060174025
SN - 1687-9627
VL - 2019
JO - Case Reports in Medicine
JF - Case Reports in Medicine
M1 - 7190739
ER -