下胸椎脊髓根病合并髓内神经鞘瘤1例:罕见病例报告

Muhammad Reyhan Syawal
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摘要

髓内神经鞘瘤是一种罕见的脊柱肿瘤。在此,我们提出一个61岁的女性病例,她因双下肢无力、麻木、泌尿和排便障碍以及神经性背痛而入院。体格检查显示下肢感觉和运动障碍,以及自主神经功能障碍。影像学显示胸椎段下位有一肿块,经组织病理学分析证实为神经鞘瘤。患者接受了椎板切除术、肿瘤切除和后路稳定。她还被诊断出患有2型糖尿病和高血压。脊髓髓内神经鞘瘤是一种罕见的疾病,需要彻底的病史和体格检查才能诊断,特别是对于有神经损伤的患者。一旦确诊,及时治疗至关重要。
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Lower Thoracic Spinal Myeloradiculopathy with Intramedullary Schwannoma in an Elderly Woman: A Rare Case Report
Intramedullary schwannomas are a rare form of spinal tumors. Here, we present a case of a 61-year-old woman who was admitted to our hospital with complaints of weakness in both lower extremities, numbness, urinary and defecation disorders, and radiculating back pain. Physical examination revealed sensory and motoric deficits in the lower extremities, as well as autonomical dysfunctions. Radiological imaging revealed a mass at the lower level of thoracic spinal segment, which was confirmed as a schwannoma through histopathological analysis. The patient underwent laminectomy tumor removal and posterior stabilization. She was also diagnosed with type 2 diabetes mellitus and hypertension. Spinal intramedullary schwannoma is a rare condition that requires a thorough history and physical examination for diagnosis, particularly for patients with neurological impairments. Prompt treatment is essential once the diagnosis is made.
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