Successful excision of intradural extramedullary plexiform T1-T4 schwannoma.

Surgical neurology international Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.25259/SNI_617_2024
Tommy Alfandy Nazwar, Farhad Bal Afif, Donny Wisnu Wardhana, Christin Panjaitan
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Abstract

Background: Plexiform schwannomas (PSs) are rare. Here, we describe the clinical features, diagnosis, treatment, and outcome of a 17-year-old male presenting with a T1-T4 intradural extramedullary (IDEM).

Case description: A 17-year-old male presented with back pain and pain radiating down both legs. The thoracic magnetic resonance revealed a left-sided T1-T4 IDEM mass. The patient underwent a T2-T4 laminectomy for gross total tumor excision, followed by posterior fusion. Immunohistochemical examination revealed S100 positivity, supporting the diagnosis of PS.

Conclusion: IDEM PSs are rare, may be readily diagnosed with MR, and can be successfully resected.

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成功切除硬膜内髓外丛状 T1-T4 裂隙瘤。
背景:丛状分裂瘤(PSs)非常罕见。在此,我们描述了一名 17 岁男性 T1-T4 硬膜外神经丛状分裂瘤(IDEM)患者的临床特征、诊断、治疗和结果:一名 17 岁的男性因背部疼痛和双腿放射痛前来就诊。胸部磁共振显示左侧 T1-T4 硬膜外肿块。患者接受了 T2-T4 椎板切除术,进行了肿瘤全切,随后进行了后路融合。免疫组化检查显示 S100 阳性,支持 PS 的诊断:结论:IDEM PSs非常罕见,可通过磁共振轻易诊断,并可成功切除。
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