Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia

Rahyussalim, Rizky Priambodo Wisnubaroto, Tri Kurniawati, Alfariq Senja Belantara Latsarizul, Nuryati Chairani

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Article number7190739
JournalCase Reports in Medicine
Volume2019
DOIs
Publication statusPublished - 1 Jan 2019

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    Rahyussalim, Wisnubaroto, R. P., Kurniawati, T., Latsarizul, A. S. B., & Chairani, N. (2019). Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia. Case Reports in Medicine, 2019, [7190739]. https://doi.org/10.1155/2019/7190739